Individual
DR. KENNETH JAMES SULLIVAN-BOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
345 ELM ST, BENNINGTON, VT 05201-2265
(802) 753-7930
(802) 753-7924
Mailing address
345 ELM ST, BENNINGTON, VT 05201-2265
(802) 753-7930
(802) 753-7924
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
006.0061495
VT
111N00000X
Chiropractor
38-009348
IL
2251X0800X
Orthopedic Physical Therapist
006.0061495
VT
Other
Enumeration date
05/26/2006
Last updated
04/24/2024
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