Individual
DR. KEVIN L QUINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
109 BEE ST, CHARLESTON, SC 29401-5703
(843) 577-5011
Mailing address
109 BEE ST, CHARLESTON, SC 29401-5703
(843) 577-5011
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
11458
NH
2085R0202X
Diagnostic Radiology Physician
Primary
11458
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011458
TUFTS
NH
01
—
01Y003557 NH05
ANTHEM MCH TAX ID
NH
01
—
01Y003557NH02
BLUE CROSS
NH
01
—
2675858
AETNA
NH
01
—
294668
CIGNA
NH
01
—
300123698
RAILROAD MEDICARE
NH
05
—
30201769
—
NH
Enumeration date
04/19/2006
Last updated
02/13/2018
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