Individual
DR. NICOLE ELIZABETH SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
214 W JOHN FITCH AVE, BARDSTOWN, KY 40004-1115
(502) 350-1314
(502) 350-1316
Mailing address
214 W JOHN FITCH AVE, BARDSTOWN, KY 40004-1115
(502) 350-1314
(502) 350-1316
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4982
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
463476472
TAX ID
KY
Enumeration date
12/01/2006
Last updated
11/14/2014
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