Individual
KYLEE LUCILLE QUARTERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
534 CLEVER RD, MC KEES ROCKS, PA 15136-1023
(412) 494-5440
Mailing address
534 CLEVER RD, MC KEES ROCKS, PA 15136-1023
(412) 494-5440
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC8621
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1346010
HIGMARK PROVIDER NUMBER
PA
Enumeration date
06/14/2007
Last updated
07/08/2007
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