Alicia Kim Sullivan, NP
NPI #1477158905 in Edwardsville, Illinois
Provider Information
- NPI Number
- 1477158905
- Entity Type
- Individual
- Name
- Alicia Kim Sullivan, NP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Credential
- NP
- Enumeration Date
- Dec 2, 2020
- Last Updated
- Dec 2, 2020
Practice Location
- Address
- 441 S STATE ROUTE 157 STE 102
- City
- Edwardsville
- State
- Illinois
- ZIP Code
- 62025-4017
- Phone
- (618) 254-2273
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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