Riley-Quinn, Kimberly A

Riley-Quinn, Kimberly A is an sole proprietor health care provider with primary practice located at 2102 E 38Th St , Davenport IA 52807-1135. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Riley-Quinn, Kimberly A can be contacted via phone (563) 359-4049.

Contact Information

Primary practice address
2102 E 38Th St Davenport IA 52807-1135
Phone: (563) 359-4049
Fax: (563) 359-4069
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 01055 Iowa

Profile Details

NPI number 1174511950
LBN Legal business name Riley-Quinn, Kimberly A
Credentials LISW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 6th, 2005
Last updated Feb 6th, 2014 - about 10 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 1174511950 NPPES
Iowa MEDICAID 0448159
Iowa Other 35389
Iowa Other IA01K8

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