Healthcare Provider Details

I. General information

NPI: 1629500913
Provider Name (Legal Business Name): EMILY KINGRY CARROLL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: EMILY ELIZABETH KINGRY

II. Dates (important events)

Enumeration Date: 03/28/2017
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 DUDLEY ST
PROVIDENCE RI
02905-2401
US

IV. Provider business mailing address

455 TOLL GATE ROAD PRC AND CREDENTIALING
WARWICK RI
02886-2759
US

V. Phone/Fax

Practice location:
  • Phone: 401-274-1122
  • Fax: 401-453-7571
Mailing address:
  • Phone: 401-273-0641
  • Fax: 401-273-2919

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD20408
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: