Individual
KIMBERLY SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5025 HADLEY MEADOW CT, LAS VEGAS, NV 89131-5211
(773) 600-7091
Mailing address
5025 HADLEY MEADOW CT, LAS VEGAS, NV 89131-5211
(773) 600-7091
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/17/2019
Last updated
04/01/2024
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