Individual
MRS. KENDRA LYNN SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
101 E PLUMMER BLVD, CHATHAM, IL 62629-8047
(217) 483-3487
Mailing address
101 E PLUMMER BLVD, CHATHAM, IL 62629-8047
(217) 483-3487
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209013990
IL
Other
Enumeration date
03/07/2016
Last updated
03/09/2016
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