Individual provider · Type 1 NPI

Kenny Thomas Severino

Physician Assistant · Baltimore, MD

NPI number 1316788409 Active

Practice location

1111 N Charles St
Baltimore, MD 21201-5505

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XC0010684 (MD)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1316788409

Kenny Thomas Severino's National Provider Identifier is 1316788409, issued on Jun 4, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Baltimore, MD. The record was last updated on Sep 1, 2026.