Individual
KENISHA BEST SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4614 WILGROVE MINT HILL RD STE C3, MINT HILL, NC 28227-3547
(704) 412-8472
Mailing address
4311 SCHOOL HOUSE CMNS STE 215, HARRISBURG, NC 28075-7510
(980) 777-0776
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
229703
NC
Other
Enumeration date
08/24/2024
Last updated
08/24/2024
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