Individual
DR. KEVIN LOREN NORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 SCUFFLETOWN RD, SIMPSONVILLE, SC 29681-7204
(864) 329-0029
Mailing address
300 E MCBEE AVE, GREENVILLE, SC 29601-2842
(645) 228-6038
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
069491
GA
207Q00000X
Family Medicine Physician
Primary
31236
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
312361
—
SC
Enumeration date
08/04/2008
Last updated
02/10/2023
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