Provider Demographics
NPI:1528118619
Name:GUNNING, KATHY G (PA)
Entity type:Individual
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First Name:KATHY
Middle Name:G
Last Name:GUNNING
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Gender:F
Credentials:PA
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Mailing Address - Street 1:1838 GREENE TREE ROAD
Mailing Address - Street 2:SUITE 150
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21208
Mailing Address - Country:US
Mailing Address - Phone:410-602-9262
Mailing Address - Fax:410-602-9276
Practice Address - Street 1:9105 FRANKLIN SQUARE DR
Practice Address - Street 2:SUITE 209
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21237-3902
Practice Address - Country:US
Practice Address - Phone:410-574-1330
Practice Address - Fax:410-574-2691
Is Sole Proprietor?:No
Enumeration Date:2007-01-11
Last Update Date:2010-10-21
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Provider Licenses
StateLicense IDTaxonomies
MDC0000703363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical