Individual
KENDRA SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
W3978 GREENBUSH RD, MONROE, WI 53566-8517
(608) 558-1610
Mailing address
W3978 GREENBUSH RD, MONROE, WI 53566-8517
(608) 558-1610
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
247903
WI
Other
Enumeration date
11/28/2022
Last updated
11/28/2022
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