Kailyn Simone Quash, NP
Nurse Practitioner, Family in Santa Monica, CA. Individual provider (NPI-1).
NPI number1265310940
StatusActive
Last updated in NPPESOct 23, 2025
Details
- NPI
- 1265310940
- Entity type
- Individual (NPI-1)
- Name
- Kailyn Simone Quash
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 22, 2025
- Certification date
- Oct 23, 2025
- Last updated
- Oct 23, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 95036605 | CA | Yes |
| 363L00000X | Nurse Practitioner | 95036605 | CA | |
| 163W00000X | Registered Nurse | 95205984 | CA |
Practice location
1301 20th St Ste 270Santa Monica, CA 90404-2053
Phone 310-828-8585
Mailing address
920 Enterprise Ave Apt 8Inglewood, CA 90302-8321
Phone 562-505-5959
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