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Individual

MS. KENYATA SULLIVAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
411 KAY ST, NORTH LITTLE ROCK, AR 72117-4810
(501) 288-5723
Mailing address
411 KAY ST, NORTH LITTLE ROCK, AR 72117-4810
(501) 288-5723

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary

Other

Enumeration date
09/25/2024
Last updated
09/25/2024
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