| NPI | 1205679586 |
|---|---|
| Professional Name | KELLEY QUINN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 2024097879) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS 912804) |
| Enumeration Date | 2024-06-14 |
| Last Update Date | 2025-03-10 |