Active NPIIndividual providerSole proprietor

Kelly T Quinn, MD

Pediatrics in S Weymouth, Massachusetts

NPI Number1710447123
Practice location
55 Fogg RD, S Weymouth, MA 02190-2432
Fax
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Last updated
June 30, 2023

Kelly Theresa Quinn is a Pediatrics based in S Weymouth, MA. Kelly Theresa Quinn practices in S Weymouth, MA and has the professional credentials of MD. The NPI Number for Kelly Theresa Quinn is 1710447123 and holds a License No. 291800 (MA). The current practice location address for Kelly Theresa Quinn is 55 Fogg RD, S Weymouth, MA 02190-2432 and can be reached out via phone at 781-624-8000.

Provider Profile Details

NPI Number
1710447123
Provider Name
Kelly Theresa Quinn
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
55 Fogg RD, S Weymouth, MA 02190-2432
Phone Number
781-624-8000
Primary Taxonomy
Pediatrics · 208000000X
Sole Proprietor
Yes
Provider Enumeration Date
March 21, 2019
Last Update Date
June 30, 2023
Certification Date
June 30, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
55 Fogg RD
S Weymouth, MA 02190-2432
Zip
02190-2432
Phone Number
781-624-8000
S Weymouth, MA 02190Get directions →

Provider Business Mailing Address Details

Address
300 Longwood Ave
Boston, MA 02115-5724
City
Boston
State
MA
Zip
02115-5724
Phone Number
617-355-6000

License Information

License Number (1)
291800
License State (1)
MA
Taxonomy (1)
Pediatrics, Pediatric Pulmonology · 2080P0214X
License Number (2)
291800
License State (2)
MA
Taxonomy (2)
Pediatrics · 208000000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kelly T Quinn, MD?

The NPI number of Kelly T Quinn, MD is 1710447123. It was assigned on March 21, 2019 and is currently active in the NPPES registry.

What is the specialty of Kelly T Quinn, MD?

Kelly T Quinn, MD is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in MA under license number 291800.

Where does Kelly T Quinn, MD practice?

The practice location is 55 Fogg RD, S Weymouth, MA 02190-2432. The office can be reached at 781-624-8000 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1710447123 directly on the NPPES registry website.

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