Individual
KARA E SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
800 N CHEYENNE RD, NIXA, MO 65714-6581
(417) 689-2962
(417) 689-2962
Mailing address
1825 E REPUBLIC RD APT 204, SPRINGFIELD, MO 65804-6557
(417) 689-2962
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2017009103
MO
Other
Enumeration date
08/16/2017
Last updated
06/10/2019
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