Individual
KELLY BROOKE QUINN
Active
Individual
KELLY BROOKE QUINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
25MB10251100
NJ
207N00000X
Dermatology Physician
OT015927
PA
207R00000X
Internal Medicine Physician
OT015927
PA
Other
Enumeration date
04/29/2014
Last updated
07/27/2018
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