Individual
DR. KEVIN L QUINN
Active
Individual
DR. KEVIN L QUINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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