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KELLY QUINLAN MD
NPI 1003676529
Student in an Organized Health Care Education/Training Program in Norfolk, VA

Active since March 21, 2024PECOS Enrolled
825 FAIRFAX AVE # 710, NORFOLK, VA 23507(757) 446-5888 Get Directions Write a Review

NPPES record last updated: June 4, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Quinlan Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY QUINLAN MD (NPI 1003676529) is an individual student in an organized health care education/training program in Norfolk, Virginia, licensed in Virginia (0116039513) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003676529
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKELLY QUINLANCredential: MD
Location Address825 FAIRFAX AVE # 710Norfolk, VA 23507-1914
Mailing Address825 Fairfax Ave # 710Norfolk, VA 23507-1912
Phone(757) 446-5888
Sole ProprietorNo
Enumeration DateMarch 21, 2024
Last NPPES UpdateJune 4, 2026
NPPES CertifiedJune 4, 2026
✔ NPI 1003676529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in VA · 0116039513
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
825 FAIRFAX AVE # 710, Norfolk, VA 23507
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Quinlan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHARLOTTE DAWSON
Psychologist (Clinical)
825 FAIRFAX AVE # 710
NORFOLK, VA 23507
Norfolk City (757) 446-5888
DR. TAYLOR STERLING WALLACE M.D.
Student in an Organized Health Care Education/Training Program
825 FAIRFAX AVE # 710
NORFOLK, VA 23507
Norfolk City (757) 446-5888
DR. ANA-MARIA MCGILL DO
Psychiatry & Neurology (Psychiatry)
825 FAIRFAX AVE # 710
NORFOLK, VA 23507
Norfolk City (757) 446-5888
DR. EILEEN KATE DOUGLAS PH.D., LPC, ATR-BC
Counselor
825 FAIRFAX AVE # 710
NORFOLK, VA 23507
Norfolk City (757) 446-5888

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Quinlan's NPI number?

The NPI number for Kelly Quinlan is 1003676529. It was assigned to this individual provider in the NPPES registry on March 21, 2024.

Where is Kelly Quinlan located?

Kelly Quinlan practices at 825 Fairfax Ave # 710, Norfolk, VA 23507. The listed phone number is (757) 446-5888.

What is Kelly Quinlan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kelly Quinlan enrolled in Medicare?

Yes. Kelly Quinlan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelly Quinlan was last updated on June 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.