Individual provider · Type 1 NPI

Kenneth L. Norris, P.A.

Surgical Physician Assistant · Lawrenceville, GA

NPI number 1205932175 Active

Practice location

631 Professional Dr, Suite 200
Lawrenceville, GA 30046-3367

Call (678) 312-3500 Map

Fax (678) 312-3529

Mailing address

PO Box 116156
Atlanta, GA 30368-6156

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X002268 (GA)

Surgical Physician Assistant: Definition to come...

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About NPI 1205932175

Kenneth L. Norris, P.A.'s National Provider Identifier is 1205932175, issued on Sep 16, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Lawrenceville, GA. The record was last updated on Sep 16, 2020.