Individual
KATHLEEN M STAUDINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
38 HAMLET AVE, WOONSOCKET, RI 02895-4423
(401) 762-0020
(401) 762-1819
Mailing address
5 PADDOCK DR, LINCOLN, RI 02865-4947
(401) 728-9737
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
Primary
MD06474
RI
2085R0202X
Diagnostic Radiology Physician
MD06474
RI
2085U0001X
Diagnostic Ultrasound Physician
MD06474
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006474
TUFTS TGR
RI
01
—
1198-5
BCBS TGR OFFICE
RI
01
—
1570-5
BCBS KENT TGR
RI
01
—
2203
NHP TGR
RI
05
—
3142388
—
MA
01
—
400752
BLUE CHIP TGR
RI
01
—
58647
MA LICENSE
MA
05
—
7000916
—
RI
01
—
7321658
AETNA
RI
01
—
756624
CONNECTICARE TGR
RI
01
—
9108416
CIGNA
RI
01
—
MD06474
RI LICENSE
RI
01
—
P00110434
RR MEDICARE TGR
RI
Enumeration date
05/27/2005
Last updated
09/11/2025
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