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1144370065
KELLY G SULLIVAN
LOUISVILLE, KY
NPI
1144370065
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Former Name
KELLY G SCHNEIDER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: KY KY-R2746)
Enumeration Date
2007-01-11
Last Update Date
2020-05-08
Business Address
KELLY G SULLIVAN
444 W KENWOOD DR
LOUISVILLE, KY 40214-2859
Phone number: 502-396-1472
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Mailing Address
KELLY G SULLIVAN
444 W KENWOOD DR
LOUISVILLE, KY 40214-2859
Phone number: 502-396-1472
Copy
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