Most Relevant Information
Provider Data
| NPI Number: | 1003676529 |
| Provider Name: | KELLY QUINLAN MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/21/2024 |
| Last Updated: | 10/28/2024 |
Provider Practice Location
825 FAIRFAX AVE # 710
NORFOLK
VA
235071914
Practice Location Phone/Fax
| Phone: | 7574465888 |
| Fax: |
Provider Mailing Location
825 FAIRFAX AVE # 710
NORFOLK
VA
235071912
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |