Individual
RENNAN M QUIJANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
550 HOSPITAL DR, MADISONVILLE, KY 42431-1652
(270) 824-9898
(270) 824-9185
Mailing address
550 HOSPITAL DR, MADISONVILLE, KY 42431-1652
(270) 824-9898
(270) 824-9185
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
29115
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000108208
BLUE CROSS BLUE SHIELD
—
05
—
64291156
—
KY
Enumeration date
04/25/2006
Last updated
07/08/2007
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