Provider Type Icon

DR. KENNETH JEWELL NORRIS MD NPI 1841276102


NPI Information

NPI: 1841276102
Provider Name: DR. KENNETH JEWELL NORRIS, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Organization: ALASKA NATIVE TRIBAL HEALTH CONSORTIUM

PECOS Registration: Yes

Address:
4320 DIPLOMACY DR
SUITE 3121
ANCHORAGE, AK
ZIP 99508
Phone: (907) 729-8624
Get Directions

DR. Kenneth Jewell Norris, MD is a family medicine in Anchorage, AK with 27 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Kenneth Jewell Norris, MD NPI is 1841276102. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Graduation Year:1997

The provider's business location address is:

4320 DIPLOMACY DR
SUITE 3121
ANCHORAGE, AK
ZIP 99508-925
Phone: (907) 729-8624

The NPI 1841276102 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/19/2005 and was last updated on 12/26/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineMD071034LPENNSYLVANIANo
2207Q00000XFamily Medicine5912ALASKAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
18EK992MEDICARE PINALASKA
2MD2374MEDICAIDALASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.