Sullivan, Kimberly

Sullivan, Kimberly is an individual health care provider with primary practice located at 1200 Oakleaf Way Ste A , Altoona WI 54720-2245. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Sullivan, Kimberly can be contacted via phone (715) 832-1400.

Contact Information

Primary practice address
1200 Oakleaf Way Ste A Altoona WI 54720-2245
Phone: (715) 832-1400
Fax: (715) 832-4187
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 466 Oklahoma
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 3971 Wisconsin

Profile Details

NPI number 1902082456
LBN Legal business name Sullivan, Kimberly
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 15th, 2008
Last updated Feb 10th, 2023 - about 2 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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