Individual
MS. KIMBERLY ANN SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R. N.
Contact information
Practice address
5517 WICHITA AVE, CLEVELAND, OH 44144-3650
(440) 452-3607
Mailing address
5517 WICHITA AVE., CLEVELAND, OH 44144
(440) 452-3607
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
347734
OH
Other
Enumeration date
08/02/2017
Last updated
07/21/2022
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