Individual
DR. KATHLEEN CARNEY-GODLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1672 S COUNTY TRL, SUITE 101, EAST GREENWICH, RI 02818-5098
(401) 885-7546
(401) 885-6640
Mailing address
1672 S COUNTY TRL, SUITE 101, EAST GREENWICH, RI 02818-5098
(401) 885-7546
(401) 885-6640
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
RI8180
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05051523930001
UNITED HEALTHCARE
RI
01
—
070015494
RAILROAD MEDICARE
RI
01
—
21995-0
BLUE CROSS BLUE SHIELD
RI
01
—
401340
BLUE CHIP
RI
05
—
WE34797
—
RI
Enumeration date
01/18/2006
Last updated
06/28/2021
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