Individual
MR. MICHAEL THOMAS SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2716 OLD ROSEBUD ROAD, SUITE 230, LEXINGTON, KY 40509
(859) 263-8833
(859) 264-1175
Mailing address
2716 OLD ROSEBUD ROAD, SUITE 230, LEXINGTON, KY 40509
(859) 263-8833
(859) 264-1175
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5038
KY
Other
Enumeration date
01/20/2007
Last updated
08/27/2014
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