Individual
JULIA ALEXANDRA ELIZABETH SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3901 RAINBOW BLVD, KANSAS CITY, KS 66160-8500
(816) 820-0296
Mailing address
824 SW CUTTER LN, LEES SUMMIT, MO 64081-1782
(816) 820-0296
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/29/2021
Last updated
03/29/2021
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