Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 55624 | WI |
N | 207V00000X | Obstetrician & Gynecologist | MD429563 | PA |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 2013-00539 | NC |
NPI | 1295904381 |
---|---|
Provider Name | Dr. Kristen Helane Quinn |
First Address | Winston Salem, NC 27157-0001 |
Second Address | Winston Salem, NC 27157-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/02/2008 |
Last Update Date | 30/12/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1295904381 | (05) | WI |
9788227 | AETNA (01) | NC |