Individual
LYNNE M QUALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
803 POPLAR ST, MURRAY, KY 42071-2432
(270) 752-2200
(270) 762-1783
Mailing address
300 S 8TH ST, SUITE 480W, MURRAY, KY 42071-2400
(270) 762-1781
(270) 762-1783
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
1127010
KY
Other
Enumeration date
09/20/2012
Last updated
09/20/2012
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