Individual
KEITH A. NORVILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
180 MEDICAL PARK PL STE 201, HOT SPRINGS, AR 71901-8067
(719) 248-4260
Mailing address
122 GARDEN EDGE DR, HOT SPRINGS, AR 71913-6084
(719) 248-4260
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
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