Individual
KETTYELENA QUINDEMIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 732-8210
(862) 714-9737
Mailing address
321 SW 120TH AVE, MIAMI, FL 33184-1640
(786) 271-4973
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
RN10025381
MA
367500000X
Certified Registered Nurse Anesthetist
APRN9274074
FL
367500000X
Certified Registered Nurse Anesthetist
ARNP9274074
FL
Other
Enumeration date
01/06/2014
Last updated
06/09/2025
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