Provider Demographics
NPI:1174750590
Name:LIPPMANN, QUINN KERR (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:QUINN
Middle Name:KERR
Last Name:LIPPMANN
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:KRISTEN
Other - Middle Name:DENISE
Other - Last Name:KERR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9101 STONY POINT DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23235
Mailing Address - Country:US
Mailing Address - Phone:804-330-9105
Mailing Address - Fax:804-521-1061
Practice Address - Street 1:9101 STONY POINT DR
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23235
Practice Address - Country:US
Practice Address - Phone:804-330-9105
Practice Address - Fax:804-521-1061
Is Sole Proprietor?:No
Enumeration Date:2009-06-11
Last Update Date:2021-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC156602390200000X
CAA125592390200000X
VA0101259737207VF0040X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VF0040XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyUrogynecology and Reconstructive Pelvic Surgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1174750590Medicaid
VAVVL399AMedicare PIN