Individual
JANICE ELAINE SULLIVAN
Active
Individual
JANICE ELAINE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207LP3000X
Pediatric Anesthesiology Physician
31607
KY
208000000X
Pediatrics Physician
31607
KY
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
31607
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200045900
—
IN
05
—
64998891
—
KY
Enumeration date
12/02/2005
Last updated
11/18/2024
Update your record
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