Provider Demographics
NPI:1538598867
Name:NAUGHTON, KERRI (LAC, MS)
Entity type:Individual
Prefix:
First Name:KERRI
Middle Name:
Last Name:NAUGHTON
Suffix:
Gender:F
Credentials:LAC, MS
Other - Prefix:
Other - First Name:KERRI
Other - Middle Name:
Other - Last Name:HILL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LAC, MS
Mailing Address - Street 1:870 MARKET ST
Mailing Address - Street 2:SUITE 1117
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94102-3099
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:870 MARKET ST
Practice Address - Street 2:SUITE 1117
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94102-3099
Practice Address - Country:US
Practice Address - Phone:415-362-4600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-07
Last Update Date:2013-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA15576171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist