Individual
MISS KIM AILEEN MCQUOID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP
Contact information
Practice address
221 W STEWART AVE STE 101, MEDFORD, OR 97501-3609
(541) 690-3500
Mailing address
931 CHEVY WAY, MEDFORD, OR 97504-4127
(541) 690-3555
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
091007322RN
OR
176B00000X
Midwife
Primary
091007322N5
OR
363LF0000X
Family Nurse Practitioner
091007322
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
066857
—
OR
05
—
227698
—
OR
Enumeration date
06/28/2005
Last updated
01/23/2020
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