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Individual

DR. KATHERINE SULLIVAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD, ATC, USAW

Contact information

Practice address
656 W KIRBY ST, DETROIT, MI 48202-3622
(313) 577-9326
Mailing address
656 W KIRBY ST, DETROIT, MI 48202-3622
(313) 577-9326

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
LAT-4054
NC

Other

Enumeration date
07/16/2014
Last updated
01/12/2024
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