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Individual

ROBERT QUINN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
550 N HILLSIDE ST, WICHITA, KS 67214-4910
(316) 789-8444
(316) 652-0340
Mailing address
PO BOX 47890, WICHITA, KS 67201-7890
(316) 685-6112
(316) 652-0340

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
54389
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
014760
BCBS
KS
Enumeration date
02/28/2006
Last updated
07/08/2007
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