Individual
KERRY QUINN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
12401 ACADEMY RD STE 203, PHILADELPHIA, PA 19154-1934
(215) 637-3100
(215) 637-7310
Mailing address
570 N 23RD ST APT 8A, PHILADELPHIA, PA 19130-3159
(703) 674-6323
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
OA004810
PA
Other
Enumeration date
02/26/2018
Last updated
07/22/2019
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