Sullivan, Kelly G

Sullivan, Kelly G is an individual health care provider with primary practice located at 444 W Kenwood Dr , Louisville KY 40214-2859. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Sullivan, Kelly G can be contacted via phone (502) 396-1472.

Contact Information

Primary practice address
444 W Kenwood Dr Louisville KY 40214-2859
Phone: (502) 396-1472
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X KY-R2746 Kentucky

Profile Details

NPI number 1144370065
LBN Legal business name Sullivan, Kelly G
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2007
Last updated May 8th, 2020 - about 4 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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