Individual
MR. CHRISTOPHER KIRK SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3005 N GLENOAKS DR, MIDWEST CITY, OK 73110-1601
(903) 436-2141
Mailing address
3005 N GLENOAKS DR, MIDWEST CITY, OK 73110-1601
(903) 436-2141
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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