Quinn, Kathy Granack

Quinn, Kathy Granack is an individual health care provider with primary practice located at 2675 Court Dr Compleat Kidz, Gastonia NC 28054-1478. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Quinn, Kathy Granack can be contacted via phone (704) 824-4999.

Contact Information

Primary practice address
2675 Court Dr Compleat Kidz Gastonia NC 28054-1478
Phone: (704) 824-4999
Fax: (704) 824-3999
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X 7531 North Carolina

Profile Details

NPI number 1316202211
LBN Legal business name Quinn, Kathy Granack
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2012
Last updated Jul 12th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316202211 NPPES
North Carolina MEDICAID 7213081

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