Individual
MARY CLARE GUIGLIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
24001
KY
207NS0135X
Procedural Dermatology Physician
24001
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000236068
ANTHEM
—
01
—
0300065
UNITED HEALTHCARE
KY
05
—
64240013
—
KY
01
—
C03008
CUMBERLAND HEALTH
—
Enumeration date
05/31/2005
Last updated
12/17/2013
Update your record
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