Individual
MRS. KIMBERLY JO SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN.405814
Contact information
Practice address
17273 STATE ROUTE 104, CHILLICOTHE, OH 45601-9718
(740) 653-6145
Mailing address
17273 STATE ROUTE 104, CHILLICOTHE, OH 45601-9718
(740) 653-6145
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
RN.405814
OH
Other
Enumeration date
07/27/2022
Last updated
07/27/2022
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