Provider Demographics
NPI:1629254321
Name:BAUGNON, KRISTEN LLOYD (MD)
Entity Type:Individual
Prefix:DR
First Name:KRISTEN
Middle Name:LLOYD
Last Name:BAUGNON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:KRISTEN
Other - Middle Name:MARY
Other - Last Name:LLOYD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1364 CLIFTON RD NE
Mailing Address - Street 2:EMORY UNIVERSITY HOSPITAL - DEPARTMENT OF RADIOLOGY
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30322-1059
Mailing Address - Country:US
Mailing Address - Phone:404-712-4583
Mailing Address - Fax:404-712-7957
Practice Address - Street 1:1364 CLIFTON RD NE
Practice Address - Street 2:EMORY UNIVERSITY HOSPITAL - DEPARTMENT OF RADIOLOGY
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30322-1064
Practice Address - Country:US
Practice Address - Phone:404-712-4583
Practice Address - Fax:404-712-7957
Is Sole Proprietor?:No
Enumeration Date:2008-01-14
Last Update Date:2009-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0547682085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology