Raymond James Sullivan, MD

NPI #1093790065 in Edgewood, Kentucky

Provider Information

NPI Number: 1093790065
Entity Type: Individual
Name: Raymond James Sullivan, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Anesthesiology
Credential: MD
Enumeration Date: Dec 13, 2005
Last Updated: Feb 20, 2008

Practice Location

Address: 20 MEDICAL VILLAGE DR
Address 2: INDEPENDENT ANESTHESIOLOGISTS. PSC
City: Edgewood
State: Kentucky
ZIP Code: 41017
Phone: (859) 341-7246

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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