Individual
MS. KATHY LORRIENE SULLIVENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
333 KENNEDY DR, CROWLEY, TX 76036-4054
(817) 521-1766
Mailing address
333 KENNEDY DR, CROWLEY, TX 76036-4054
(817) 521-1766
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
130800
TX
Other
Enumeration date
08/12/2008
Last updated
08/12/2008
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