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Organization

JOHN P SULLIVAN MD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN P SULLIVAN MD (OWNER)
(502) 451-5121
Entity
Organization

Contact information

Practice address
4011 GARDINER POINT DR STE 101, LOUISVILLE, KY 40213-1988
(502) 451-5121
Mailing address
4011 GARDINER POINT DR STE 101, LOUISVILLE, KY 40213-1988
(502) 451-5121

Taxonomy

Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary

Other

Enumeration date
08/06/2025
Last updated
08/06/2025
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