Individual
KIMBERLY G QUINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 PEGASUS CT STE 508, WINCHESTER, VA 22602-4596
(800) 805-6989
Mailing address
115 TWINLEAF WAY, LAKE FREDERICK, VA 22630-2292
(540) 532-8933
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002074617
VA
Other
Enumeration date
04/02/2022
Last updated
04/02/2022
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