Individual
MRS. KATHY M SULLIVAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
300 STATE ST, #400A, ERIE, PA 16507-1427
(814) 454-8287
(814) 454-8470
Mailing address
300 STATE ST, #400A, ERIE, PA 16507-1427
(814) 454-8287
(814) 454-8470
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA002986L
PA
Other
Enumeration date
12/12/2005
Last updated
07/08/2007
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