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Organization
JOHN P SULLIVAN MD
Active
Organization
JOHN P SULLIVAN MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN P SULLIVAN MD (OWNER)
(502) 451-5121
Entity
Organization
Contact information
Practice address
4011 GARDINER POINT DR STE 101, LOUISVILLE, KY 40213-1988
(502) 451-5121
Mailing address
4011 GARDINER POINT DR STE 101, LOUISVILLE, KY 40213-1988
(502) 451-5121
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
NULL
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—
Other
Enumeration date
08/06/2025
Last updated
08/06/2025
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