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Individual

DR. KIM J. NORVILLE

Active
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Individual

DR. KIM J. NORVILLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
002506-1
NY
207RP1001X
Pulmonary Disease Physician
Primary
MD428166
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02724087
NY
05
1015443870001
PA
01
CC9269
RR MEDICARE GROUP
PA
01
GU040024
PA MEDICARE GROUP
PA
01
P00284119
RR MEDICARE PIN
PA
Enumeration date
02/03/2006
Last updated
09/15/2011
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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