Sullivan, Kathleen Lea

Sullivan, Kathleen Lea is an individual health care provider with primary practice located at 134 Grandview Ave 208, Waterbury CT 06708-2507. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Sullivan, Kathleen Lea can be contacted via phone (203) 755-3279.

Contact Information

Primary practice address
134 Grandview Ave 208 Waterbury CT 06708-2507
Phone: (203) 755-3279
Fax: (203) 755-3057
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4478 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 004478 Connecticut

Profile Details

NPI number 1811204985
LBN Legal business name Sullivan, Kathleen Lea
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2010
Last updated Apr 1st, 2015 - about 10 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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