Individual
KIMBERLY A RILEY-QUINN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
2102 E 38TH ST, DAVENPORT, IA 52807-1135
(563) 359-4049
(563) 359-4069
Mailing address
2102 E 38TH ST, DAVENPORT, IA 52807-1135
(563) 359-4049
(563) 359-4069
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
01055
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0448159
—
IA
01
—
35389
WELLMARK HEALTH PLAN
IA
01
—
IA01K8
JOHN DEERE HEALTH PLAN
—
Enumeration date
10/06/2005
Last updated
02/06/2014
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