NPI 1720666183 · live from the CMS NPI Registry
Kathleen Marie Johnstonbaugh, MD
Family Medicine, Hospice and Palliative Medicine in Little Rock, AR. National Provider Identifier 1720666183, active.
NPI record
| NPI | 1720666183 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine, Hospice and Palliative Medicine 207QH0002X |
| Practice location | 4301 W Markham St # 508, Little Rock, AR 72205 |
| Practice phone | 501-686-8000 |
| Mailing address | 147 Charles Thomas Blvd, Searcy, AR 72143 |
| Enumerated | March 29, 2021 |
| Last updated | July 3, 2025 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine | 207Q00000X | E-17580 (AR) |
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Family Medicine, Hospice and Palliative Medicine primary | 207QH0002X | E-17580 (AR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.