Individual
BROCK QUINTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1600 BRECKENRIDGE ST, OWENSBORO, KY 42303-1055
(270) 686-7744
Mailing address
1600 BRECKENRIDGE ST, OWENSBORO, KY 42303-1055
(270) 686-7744
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/23/2014
Last updated
12/23/2014
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