Individual
MS. KIMBERLY DENISE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
11960 WESTLINE INDUSTRIAL DR, SUITE 201, SAINT LOUIS, MO 63146-3209
(314) 819-0480
(187) 747-5744
Mailing address
11960 WESTLINE INDUSTRIAL DR, SUITE 201, SAINT LOUIS, MO 63146-3209
(314) 819-0480
(187) 747-5744
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2011006474
MO
Other
Enumeration date
05/06/2015
Last updated
05/06/2015
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