Individual
KENT S QUINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
21181
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7191098*
—
IA
Enumeration date
09/14/2005
Last updated
07/05/2016
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