Sullivan, Kim Leann
Sullivan, Kim Leann is an individual health care provider with primary practice located at 1100 N College Ave , Fayetteville AR 72703-1944. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Sullivan, Kim Leann can be contacted via phone (479) 443-4301.Contact Information
Primary practice address
1100 N College Ave
Fayetteville AR 72703-1944
Phone: (479) 443-4301
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | 0752 | Arkansas |
Profile Details
| NPI number | 1891957759 |
|---|---|
| LBN Legal business name | Sullivan, Kim Leann |
| Credentials | Registered Dental Hygienist (RDH) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 1st, 2008 |
| Last updated | Jul 1st, 2008 - about 18 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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