Provider Demographics
NPI:1487843512
Name:KENNETH A NORTON MD
Entity Type:Organization
Organization Name:KENNETH A NORTON MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:NORTON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:913-262-9311
Mailing Address - Street 1:8901 W 74TH ST
Mailing Address - Street 2:#333
Mailing Address - City:SHAWNEE MISSION
Mailing Address - State:KS
Mailing Address - Zip Code:66204-2204
Mailing Address - Country:US
Mailing Address - Phone:913-262-9311
Mailing Address - Fax:913-262-7374
Practice Address - Street 1:8901 W 74TH ST
Practice Address - Street 2:#333
Practice Address - City:SHAWNEE MISSION
Practice Address - State:KS
Practice Address - Zip Code:66204-2204
Practice Address - Country:US
Practice Address - Phone:913-262-9311
Practice Address - Fax:913-262-7374
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-15
Last Update Date:2008-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS16825174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS827113112Medicare PIN
KS1160000Medicare PIN
KSC50978Medicare UPIN