Individual
CRYSTAL SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2201 LEXINGTON AVE, ASHLAND, KY 41101-2843
(606) 408-4000
(606) 408-6825
Mailing address
PO BOX 2379, ASHLAND, KY 41105-2379
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3017226
KY
Other
Enumeration date
01/13/2022
Last updated
01/13/2022
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