Provider Demographics
NPI:1003788191
Name:QUAMEN, KYLEE JEAN (DC)
Entity type:Individual
Prefix:DR
First Name:KYLEE
Middle Name:JEAN
Last Name:QUAMEN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11140 VIDA CIR UNIT 208
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34211-2489
Mailing Address - Country:US
Mailing Address - Phone:605-207-0211
Mailing Address - Fax:
Practice Address - Street 1:6771 PROFESSIONAL PKWY STE 102
Practice Address - Street 2:
Practice Address - City:LAKEWOOD RANCH
Practice Address - State:FL
Practice Address - Zip Code:34240-8460
Practice Address - Country:US
Practice Address - Phone:941-702-0553
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-19
Last Update Date:2025-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH15642111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor