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Individual

KATHRYN ANN SULLIVAN

Active
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Individual

KATHRYN ANN SULLIVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AU.D.

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AU 1542
CA
231HA2400X
Assistive Technology Practitioner Audiologist
AU 1542
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AU154200
—
CA
05
—
HA3423
—
CA
Enumeration date
01/04/2006
Last updated
09/24/2015
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