IndividualActive
Kelly Quaine
NPI 1609499060 · Gerontology Nurse Practitioner · Davenport, IA
Provider details
- NPI number
- 1609499060
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 209021404 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2217 Rockingham Rd
Davenport, IA 52802-2809
Phone: (563) 900-8465
Fax: (563) 519-6500
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 746721
Atlanta, GA 30374-6721
Registry dates
- Enumerated
- 2020-05-20
- Last updated
- 2025-06-24
- Certified
- 2025-06-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.