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Individual

BRANDEN LEE QUINLAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
234 MEDICAL CIR, SUITE 1, MOREHEAD, KY 40351-1194
(606) 784-6641
(606) 780-2379
Mailing address
234 MEDICAL CIR, SUITE 1, MOREHEAD, KY 40351-1194
(606) 784-6641
(606) 780-2379

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
03931
KY
207R00000X
Internal Medicine Physician
R3304
KY
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
03931
KY STATE MEDICAL LICENSE
KY
Enumeration date
05/08/2013
Last updated
07/12/2016
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