Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KAITLIN W QUALLS, MD
ActiveKAITLIN W QUALLS, MD is a Radiation Oncology healthcare provider located in DYER, Indiana. NPI 1366904989 is currently active in the NPPES registry. Verify at CMS.
Radiation Oncology · DYER, IN
Registration Details
- NPI Number
- 1366904989
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 2, 2019 (7.4035143839705 yrs)
- Last Updated
- Sep 16, 2024
- Licenses
-
68299 (MN)01094101A (IN)
Practice Information
- Address
-
1001 CALUMET AVEDYER, IN, 463111596Browse IN providers · Browse ZIP 46311
- Phone
- 2199248178
- Fax
- 2199248179
- Primary Specialty
-
Radiation Oncology
2085R0001X
- Additional Specialty
- Radiation Oncology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.