Sullivan, Bethany S.

Sullivan, Bethany S. is an individual health care provider with primary practice located at 4851 Ky Route 321 , Prestonsburg KY 41653-9113. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Sullivan, Bethany S. can be contacted via phone (606) 886-1173.

Contact Information

Primary practice address
4851 Ky Route 321 Prestonsburg KY 41653-9113
Phone: (606) 886-1173
Fax: (606) 886-2193
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3007834 Kentucky

Profile Details

NPI number 1962740969
LBN Legal business name Sullivan, Bethany S.
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2013
Last updated Aug 16th, 2017 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1962740969 NPPES
Kentucky MEDICAID 7100229990

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