Individual
MRS. DIANA RENEE SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2250 LEESTOWN RD, LEXINGTON, KY 40511-1052
(859) 233-4511
(859) 281-3928
Mailing address
2250 LEESTOWN RD, LEXINGTON, KY 40511-1052
(859) 233-4511
(859) 281-3928
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
1120506
KY
Other
Enumeration date
12/18/2012
Last updated
12/18/2012
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