Healthcare Provider Details

I. General information

NPI: 1174750590
Provider Name (Legal Business Name): QUINN KERR LIPPMANN MD, MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KRISTEN DENISE KERR

II. Dates (important events)

Enumeration Date: 06/11/2009
Last Update Date: 04/21/2021
Certification Date: 04/21/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9101 STONY POINT DR
RICHMOND VA
23235
US

IV. Provider business mailing address

9101 STONY POINT DR
RICHMOND VA
23235
US

V. Phone/Fax

Practice location:
  • Phone: 804-330-9105
  • Fax: 804-521-1061
Mailing address:
  • Phone: 804-330-9105
  • Fax: 804-521-1061

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number156602
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberA125592
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code207VF0040X
TaxonomyUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
License Number0101259737
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: