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Individual

KELLY QUINN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
1900 RANDOLPH RD STE 1016, CHARLOTTE, NC 28207
(704) 347-3447
(704) 347-3440
Mailing address
PO BOX 1844, BRYSON CITY, NC 28713-1844
(828) 785-5301
(828) 538-4441

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5004545
NC
363LF0000X
Family Nurse Practitioner
5004545
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
169PA
BCBS NC
NC
01
9242002
CIGNA
NC
01
NCH095C
MEDICARE
NC
01
P02008773
RR MEDICARE
NC
Enumeration date
10/30/2009
Last updated
07/15/2019
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