Sullivan, Kathleen E

Sullivan, Kathleen E is an sole proprietor health care provider with primary practice located at 96 Dormitory Row West , University MS 38677. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Sullivan, Kathleen E can be contacted via phone (615) 948-3271.

Contact Information

Primary practice address
96 Dormitory Row West University MS 38677
Fax:
Website:

Health care specialties

Profile Details

NPI number 1255060174
LBN Legal business name Sullivan, Kathleen E
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 7th, 2022
Last updated Feb 27th, 2024 - about 10 months 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 1255060174 NPPES
Mississippi Other 10704472 ATHLETIC TRAINING STUDENT

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