Provider Demographics
NPI:1376283275
Name:MCNAUGHTON, KIA HUTCHINS (MMSC)
Entity type:Individual
Prefix:MRS
First Name:KIA
Middle Name:HUTCHINS
Last Name:MCNAUGHTON
Suffix:
Gender:F
Credentials:MMSC
Other - Prefix:MS
Other - First Name:KIA
Other - Middle Name:ALICE
Other - Last Name:HUTCHINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MMSC
Mailing Address - Street 1:1800 HOWELL MILL RD NW STE 625
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30318-3185
Mailing Address - Country:US
Mailing Address - Phone:678-604-5020
Mailing Address - Fax:404-367-7120
Practice Address - Street 1:1800 HOWELL MILL RD NW STE 625
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30318-3185
Practice Address - Country:US
Practice Address - Phone:678-604-5020
Practice Address - Fax:404-367-7120
Is Sole Proprietor?:No
Enumeration Date:2022-03-30
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL261170300000X
GA467170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA467OtherGENETIC COUNSELOR LICENSE
20199OtherABGC
15158OtherNSGC
AL261OtherGENETIC COUNSELOR LICENSE