Individual
KATHLEEN THERESE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2700 NAPOLEON AVE, SUITE 560, NEW ORLEANS, LA 70115-6914
(504) 885-8563
(504) 455-1072
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
(504) 455-1072
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
024978
LA
207V00000X
Obstetrics & Gynecology Physician
Primary
MD.024978
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09373764
—
MS
05
—
1422622
—
LA
Enumeration date
03/23/2006
Last updated
10/26/2016
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