Individual
KENT S QUINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 GOOD SAMARITAN WAY, ATTN RADIOLOGY DEPT, MOUNT VERNON, IL 62864-2402
(618) 242-4600
(618) 242-4600
Mailing address
PO BOX 66971, DEPT MR, SAINT LOUIS, MO 63166-6971
(303) 465-0401
(303) 438-1351
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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