Individual
KEITH A. NORVILL
Active
Individual
KEITH A. NORVILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
49685
CO
207T00000X
Neurological Surgery Physician
Primary
E-12658
AR
207T00000X
Neurological Surgery Physician
J 3562
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1005811 02
—
TX
05
—
45757810
—
CO
01
—
P00997257
RAILROAD MEDICARE
CO
Enumeration date
01/26/2006
Last updated
05/09/2022
Update your record
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