Individual
KELLEY QUINN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6051 U S HIGHWAY 49, HATTIESBURG, MS 39401-7200
(601) 288-7000
Mailing address
1 HARRISON PLZ, FLORENCE, AL 35632-0002
(256) 765-4100
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
912804
MS
363LF0000X
Family Nurse Practitioner
Primary
2024097879
MS
Other
Enumeration date
06/14/2024
Last updated
03/10/2025
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