Sullivan, Kendra Lynn

Sullivan, Kendra Lynn is an individual health care provider with primary practice located at 101 E Plummer Blvd , Chatham IL 62629-8047. 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, Kendra Lynn can be contacted via phone (217) 483-3487.

Contact Information

Primary practice address
101 E Plummer Blvd Chatham IL 62629-8047
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209013990 Illinois

Profile Details

NPI number 1780045526
LBN Legal business name Sullivan, Kendra Lynn
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2016
Last updated Mar 9th, 2016 - about 8 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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