Provider Demographics
NPI:1063559268
Name:BARANANO, KRISTIN WHITFORD (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:KRISTIN
Middle Name:WHITFORD
Last Name:BARANANO
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
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Mailing Address - Street 1:707 N BROADWAY
Mailing Address - Street 2:SUITE 500
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21205-1832
Mailing Address - Country:US
Mailing Address - Phone:443-923-2750
Mailing Address - Fax:
Practice Address - Street 1:9910 FRANKLIN SQUARE DR. SUITE 2060
Practice Address - Street 2:JOHNS HOPKINS UNIVERSITY- CLINICAL PRACTICE ASSOCIATION
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21236-4902
Practice Address - Country:US
Practice Address - Phone:410-933-6423
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2011-05-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDP190962084N0402X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0402XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology