Individual
MRS. KATHLEEN QUINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
1000 MEDICAL CENTER DR, MONTICELLO, IL 61856-2116
(217) 762-1904
Mailing address
1440 E LAKE SHORE DR, DECATUR, IL 62521-3733
(219) 484-7879
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164006628
IL
Other
Enumeration date
10/16/2015
Last updated
07/31/2019
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