Individual
PRINCESS KATHLEENE QUINN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCCS
Contact information
Practice address
1000 HIGHLAND COLONY PKWY STE 5203, RIDGELAND, MS 39157-2079
(601) 291-9058
Mailing address
1054 HIGHLAND COVE PL, RIDGELAND, MS 39157-1523
(601) 291-9058
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
188792
MS
Other
Enumeration date
07/19/2019
Last updated
07/19/2019
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