Individual
MARY KENNEY CIRIGLIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
4023 GUILFORD COLLEGE RD, GREENSBORO, NC 27407-8052
(336) 890-2040
Mailing address
2101 E JEFFERSON ST, KAISER PERMANENTE MEDICARE ENROLLMENT, ROCKVILLE, MD 20852-4908
(301) 816-2424
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2014-01614
NC
207Q00000X
Family Medicine Physician
H72623
MD
207Q00000X
Family Medicine Physician
OT012488
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2014-01614
LICENSE
NC
Enumeration date
06/25/2008
Last updated
04/28/2020
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