Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KENNY THOMAS SEVERINO
NPI 1316788409
Physician Assistant in Baltimore, MD

Active since June 04, 2024
1111 N CHARLES ST, BALTIMORE, MD 21201(410) 837-2050 Get Directions Write a Review

NPPES record last updated: September 1, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Sep 1, 2026, Aug 25, 2026, Jun 4, 2024 (3 updates tracked since 2024).

About Kenny Thomas Severino NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNY THOMAS SEVERINO (NPI 1316788409) is an individual physician assistant in Baltimore, Maryland, licensed in Maryland (C0010684) and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1316788409
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameKENNY THOMAS SEVERINO
Location Address1111 N CHARLES STBaltimore, MD 21201-5505
Mailing Address1111 N Charles StBaltimore, MD 21201-5505
Sole ProprietorNo
Enumeration DateJune 4, 2024
Last NPPES UpdateSeptember 1, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2026
NPI 1316788409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MD · C0010684
Definition
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, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1111 N CHARLES ST, Baltimore, MD 21201

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
1111 N CHARLES ST
BALTIMORE, MD 21201
Nurse Practitioner (Family)
1111 N CHARLES ST
BALTIMORE, MD 21201
Psychologist (Clinical)
1111 N CHARLES ST
BALTIMORE, MD 21201
Internal Medicine (Infectious Disease)
1111 N CHARLES ST
BALTIMORE, MD 21201
Counselor (Professional)
1111 N CHARLES ST
BALTIMORE, MD 21201
Nurse Practitioner (Family)
1111 N CHARLES ST
BALTIMORE, MD 21201
Social Worker (Clinical)
1111 N CHARLES ST
BALTIMORE, MD 21201
Nutritionist
1111 N CHARLES ST
BALTIMORE, MD 21201

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenny Severino's NPI number?

The NPI number for Kenny Severino is 1316788409. It was assigned to this individual provider in the NPPES registry on June 4, 2024.

Where is Kenny Severino located?

Kenny Severino practices at 1111 N Charles St, Baltimore, MD 21201. The listed phone number is (410) 837-2050.

What is Kenny Severino's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Kenny Severino was last updated on September 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.