Individual
KARA MARIE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1230 E MAIN ST, MANKATO, MN 56001-5066
(507) 625-1811
Mailing address
1230 E MAIN ST, MANKATO, MN 56001-5066
(507) 625-1811
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
49370
MN
208000000X
Pediatrics Physician
17830
MN
2080P0206X
Pediatric Gastroenterology Physician
49370
MN
Other
Enumeration date
02/16/2007
Last updated
07/15/2020
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