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NPI Code Detail

MEDICARE: KATHLEEN QUINN

MEDICARE: KATHLEEN QUINN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1548124944
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHLEEN QUINN
Provider Business Mailing Address
First Line : 55 DODGE RD
Second Line :
City : GETZVILLE
State : NY
Zip : 14068-1205
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 637 DAVISON RD
Second Line :
City : LOCKPORT
State : NY
Zip : 14094-5339
Country : US
Telephone Number : 716-433-2484
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/11/2025
Last Update Date : 12/11/2025

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Directions to “ KATHLEEN QUINN ” Practice Location

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