Healthcare Provider Details

I. General information

NPI: 1720991284
Provider Name (Legal Business Name): KAMELA QUINNELL BSN, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2026
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1801 S MAIN ST
NECEDAH WI
54646-7858
US

IV. Provider business mailing address

1801 S MAIN ST
NECEDAH WI
54646-7858
US

V. Phone/Fax

Practice location:
  • Phone: 608-565-2256
  • Fax: 608-565-4943
Mailing address:
  • Phone: 608-565-2256
  • Fax: 608-565-4943

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number124627-30
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: