SearchIllinois172A00000X

Kevin Norris

NPI 1164738969 · on the registry since 2010 · sole proprietor

Practice

Address
19608 Meg Ln
Carlyle, IL 62231
Phone
(618) 531-0243
Fax
(618) 749-5384

Registry record

Primary taxonomy
172A00000X
172A00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2010-08-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois