Provider Demographics
NPI:1194529461
Name:NORTON, KINGDAVID EARNEST LEE
Entity type:Individual
Prefix:
First Name:KINGDAVID
Middle Name:EARNEST LEE
Last Name:NORTON
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6408 CARL AVE # 3
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44103-1533
Mailing Address - Country:US
Mailing Address - Phone:216-544-0000
Mailing Address - Fax:
Practice Address - Street 1:6408 CARL AVE # 3
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44103-1533
Practice Address - Country:US
Practice Address - Phone:216-544-0000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-03
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care