Individual
DR. KILEY MCQUINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
650 FAIRGROUNDS RD, TIPTON, IN 46072-8599
(765) 675-7595
Mailing address
662 HICKORY DR, TIPTON, IN 46072-8348
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12010877A
IN
Other
Enumeration date
03/13/2007
Last updated
04/10/2009
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