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Individual

KELLY ALISON O'QUINN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4040 KING RD, SYLVANIA, OH 43560-4442
(419) 548-0100
Mailing address
5547 MAHONING AVE # 187, AUSTINTOWN, OH 44515-2316

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
409661
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
4704276002
MI

Other

Enumeration date
09/19/2025
Last updated
05/12/2026
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