Provider Demographics
NPI:1023019635
Name:NORTON, KATHRYN S (M D)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:S
Last Name:NORTON
Suffix:
Gender:F
Credentials:M D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1042 HICKORY ST
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79601-4106
Mailing Address - Country:US
Mailing Address - Phone:325-232-8641
Mailing Address - Fax:325-232-8644
Practice Address - Street 1:1100 N 19TH ST
Practice Address - Street 2:SUITE 4G
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79601-2344
Practice Address - Country:US
Practice Address - Phone:325-670-4620
Practice Address - Fax:325-670-4624
Is Sole Proprietor?:No
Enumeration Date:2005-08-04
Last Update Date:2019-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA13379R208600000X
TXK7847208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00Z788OtherMEDICARE GROUP PTAN
TX166113401Medicaid
TX82LGOtherBLUE CROSS-BLUE SHIELD
TXH47078Medicare UPIN
TX166113401Medicaid