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NPI Code Detail

MEDICARE: QUIN KELLY RDN

MEDICARE: QUIN KELLY RDN
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
1133V00000XRegistered Dietitian

General Provider Information

NPI Number : 1083332340
Entity Type Code : Individual
Provider Name (Legal Business Name) : QUIN KELLY RDN
Provider Business Mailing Address
First Line : 38 E 32ND ST FL 10
Second Line :
City : NEW YORK
State : NY
Zip : 10016-5562
Country : US
Telephone Number : 212-685-6856
Fax Number :
Provider Business Practice Location Address
First Line : 33-41 NEWARK ST FL 5
Second Line :
City : HOBOKEN
State : NJ
Zip : 07030-5627
Country : US
Telephone Number : 917-647-1665
Fax Number : 201-473-5812
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2022
Last Update Date : 01/20/2026

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Directions to “ QUIN KELLY RDN” Practice Location

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