Provider Demographics
NPI:1477699023
Name:NAUGHTON, KATHLEEN MCKERNAN (CRNP)
Entity Type:Individual
Prefix:MS
First Name:KATHLEEN
Middle Name:MCKERNAN
Last Name:NAUGHTON
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:319 BROXTON RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21212-3532
Mailing Address - Country:US
Mailing Address - Phone:410-435-7041
Mailing Address - Fax:
Practice Address - Street 1:JOHNS HOPKINS CHILDRENS CTR
Practice Address - Street 2:NURSING OFFICE; CHARLOTTE BLOOMBERG TOWER
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21287-0001
Practice Address - Country:US
Practice Address - Phone:410-502-5471
Practice Address - Fax:410-614-1673
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2012-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR067228363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics