Individual
KELLIE QUINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1901 SW H K DODGEN LOOP, TEMPLE, TX 76502-1814
(254) 935-4000
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(800) 994-0371
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Q8609
TX
208000000X
Pediatrics Physician
263989
NY
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
Q8609
TX
Other
Enumeration date
10/06/2010
Last updated
01/19/2021
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