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Individual

KELLY A QUAINE

Active
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Individual

KELLY A QUAINE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

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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