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1710238001
KAITLIN SULLIVAN
LOUISVILLE, KY
NPI
1710238001
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: KY TC147)
Enumeration Date
2012-09-26
Last Update Date
2012-09-26
Business Address
Mrs. KAITLIN SULLIVAN PA-C
3900 KRESGE WAY SUITE 30
LOUISVILLE, KY 40207-4660
Phone number: 502-891-8700
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Mailing Address
Mrs. KAITLIN SULLIVAN PA-C
3900 KRESGE WAY SUITE 30
LOUISVILLE, KY 40207-4660
Phone number: 502-891-8700
Copy
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