SULLIVAN SCOTT SMITH

LOUISVILLE, KY
NPI1235982455
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-04-08
Last Update Date2024-05-01
Business Address
SULLIVAN SCOTT SMITH DO
530 S JACKSON ST RM C1H17
LOUISVILLE, KY 40202-1675
Phone number: 502-852-5689
Mailing Address
SULLIVAN SCOTT SMITH DO
530 S JACKSON ST RM C1H17
LOUISVILLE, KY 40202-1675
Phone number: