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Individual
KELSEY QUINNELL
Active
Individual
KELSEY QUINNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
LAT-2668
NC
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
1686-39
WI
Other
Enumeration date
04/05/2016
Last updated
11/09/2020
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