MRS. Kandis Kay Sullivan

NPI #1861714917 in Tomah, Wisconsin

Provider Information

NPI Number
1861714917
Entity Type
Individual
Name
MRS. Kandis Kay Sullivan
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Primary Care
Enumeration Date
Feb 17, 2010
Last Updated
Jul 19, 2016

Practice Location

Address
500 E VETERANS ST
City
Tomah
ZIP Code
54660-3105
Phone
(608) 372-3971

Specialties & Taxonomy Codes

Specialty
Registered Nurse
Nurse Practitioner - Primary CarePrimary Care

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