Kelly Sullivan, Otr
Kelly Sullivan, Otr is an Early Intervention Provider Agency in Louisville, Kentucky. Licensed in Kentucky. Registered with an NPI since 2012.
- Licensed in
- KY
- In the registry since
- 2012
Practice location Address checks out
444 W Kenwood DrLouisville, KY 40214-2859
Phone: (502) 396-1472
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Early Intervention Provider Agency (primary) | Taxonomy 252Y00000X · Licence KY-R2746 (KY) |
|---|
Record details
| NPI number | 1932475712 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kelly Sullivan — Owner · (502) 396-1472 |
| NPI enumerated | March 27, 2012 |
| Last updated in NPPES | March 27, 2012 |
| Mailing address | 444 W Kenwood Dr, Louisville, KY 40214-2859 |
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