Individual
MRS. AMY SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MC RD LD
Contact information
Practice address
11695 S BLACKBOB RD STE B, OLATHE, KS 66062-1021
(913) 768-6606
(913) 768-6609
Mailing address
11695 S BLACKBOB RD STE B, OLATHE, KS 66062-1021
(913) 768-6606
(913) 768-6609
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1221
KS
Other
Enumeration date
05/28/2008
Last updated
05/28/2008
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