Doctor Name: | KENT S QUINN |
NPI Number: | 1083609184 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 21181 |
Business Practice Address: | 3421 W 9th St Covenant Medical Center Waterloo, IA - 507025401 |
Business Phone Number: | 3192728000 |
Business Fax Number: | 9706670847 |
Mailing Address: | Po Box 7678, LOVELAND |
State: | CO |
Postal Code: | 805370678 |
Phone Number: | 3192728000 |
Fax Number: | 9706670847 |
NPI Enumeration Date: | 09/14/2005 |
NPI Last Update Date: | 07/08/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085B0100X |
License Number: | 21181 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Body Imaging |
Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |