Individual
KACEY SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
910 W 5TH AVE STE 900, SPOKANE, WA 99204-2948
(509) 755-5500
(509) 744-1741
Mailing address
910 W 5TH AVE STE 900, SPOKANE, WA 99204-2948
(509) 755-5500
(509) 744-1741
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA61190646
WA
Other
Enumeration date
08/17/2018
Last updated
07/23/2024
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