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Maribrooke Sullivan

NPI 1578272225 · on the registry since 2022 · sole proprietor

Practice

Address
896 Gault Terry Rd
Upton, KY 42784
Phone
(270) 537-5600

Registry record

Primary taxonomy
222Q00000X
222Q00000X
Licence states on file
KY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-03-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky