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:
Health care specialties
Specialty | Code | License # | 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 last year |
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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