Individual
MRS. KAILA PATTON SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
4880 HARKEY LN, TUSCALOOSA, AL 35406-2863
(205) 333-8222
(205) 561-1094
Mailing address
4880 HARKEY LN, TUSCALOOSA, AL 35406-2863
(205) 333-8222
(205) 561-1094
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1-148792
AL
Other
Enumeration date
08/31/2018
Last updated
04/11/2019
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