Individual
DR. KENNETH JEWELL NORRIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 W NORTHERN LIGHTS BLVD STE B, ANCHORAGE, AK 99503-3652
(907) 212-5165
(907) 212-0950
Mailing address
PO BOX 2908, PORTLAND, OR 97208-2908
(425) 207-5155
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5912
AK
207Q00000X
Family Medicine Physician
MD071034L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD2374
—
AK
Enumeration date
12/19/2005
Last updated
06/10/2025
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