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NPI Code Detail

MEDICARE: KAREN K NORTON M.D.

MEDICARE: KAREN K NORTON M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician101618MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
121309OTHERMOBCBS
21958V34311OTHERMOHEALTHCARE USA
3431383893NOROTHERMOMERCY
492215275OTHERMOBLUE SHIELD
54670625OTHERMOAETNA
649670OTHERMOGHP
71200296OTHERMOUHC
8275116OTHERMOHEALTHLINK

General Provider Information

NPI Number : 1205817376
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN K NORTON M.D.
Provider Business Mailing Address
First Line : PO BOX 23340
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63156-3340
Country : US
Telephone Number : 314-965-5437
Fax Number : 314-965-5439
Provider Business Practice Location Address
First Line : 9930 WATSON RD
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63126-1827
Country : US
Telephone Number : 314-965-5437
Fax Number : 314-965-5439
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/07/2005
Last Update Date : 10/24/2012

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