Individual
KELLY A QUAINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2217 ROCKINGHAM RD, DAVENPORT, IA 52802-2809
(563) 900-8465
(563) 519-6500
Mailing address
PO BOX 746721, ATLANTA, GA 30374-6721
(312) 733-9730
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
209021404
IL
363LG0600X
Gerontology Nurse Practitioner
27494
TN
363LG0600X
Gerontology Nurse Practitioner
Primary
H184556
IA
363LW0102X
Women's Health Nurse Practitioner
27494
TN
Other
Enumeration date
05/20/2020
Last updated
06/24/2025
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