Sullivan, Alicia Kim

Sullivan, Alicia Kim is an individual health care provider with primary practice located at 441 S State Route 157 Ste 102 , Edwardsville IL 62025-4017. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Sullivan, Alicia Kim can be contacted via phone (618) 254-2273.

Contact Information

Primary practice address
441 S State Route 157 Ste 102 Edwardsville IL 62025-4017
Phone: (618) 254-2273
Fax: (618) 254-8476
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 2093022275 Illinois

Profile Details

NPI number 1477158905
LBN Legal business name Sullivan, Alicia Kim
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2020
Last updated Dec 2nd, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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