Individual
KELLY G SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
444 W KENWOOD DR, LOUISVILLE, KY 40214-2859
(502) 396-1472
Mailing address
444 W KENWOOD DR, LOUISVILLE, KY 40214-2859
(502) 396-1472
(888) 456-3844
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
KY-R2746
KY
Other
Enumeration date
01/11/2007
Last updated
05/08/2020
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