Provider Demographics
NPI:1134189848
Name:QUICK, KAY W (APRN)
Entity type:Individual
Prefix:
First Name:KAY
Middle Name:W
Last Name:QUICK
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2711 S ROUSE ST STE F
Mailing Address - Street 2:
Mailing Address - City:PITTSBURG
Mailing Address - State:KS
Mailing Address - Zip Code:66762-6621
Mailing Address - Country:US
Mailing Address - Phone:620-232-9000
Mailing Address - Fax:620-232-9005
Practice Address - Street 1:2711 S ROUSE ST STE F
Practice Address - Street 2:
Practice Address - City:PITTSBURG
Practice Address - State:KS
Practice Address - Zip Code:66762-6621
Practice Address - Country:US
Practice Address - Phone:620-232-9000
Practice Address - Fax:620-232-9005
Is Sole Proprietor?:No
Enumeration Date:2006-03-25
Last Update Date:2023-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS45353363L00000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS200357290BMedicaid
OK200515050AMedicaid
OK200515050AMedicaid
KS161534Medicare PIN
KSQ49300Medicare UPIN