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Search › Wisconsin › 363LP2300X

Kandis Sullivan

NPI 1861714917 · on the registry since 2010

Practice

Address
500 E Veterans St
Tomah, WI 54660
Phone
(608) 372-3971
Organisation at this address
Va Tomah
Tomah Vamc
Tomah Vamc
Va Med Ctr
Tomah Va Medical Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
451

Registry record

Primary taxonomy
363LP2300X
363LP2300X
Also registered as
163W00000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-07-19

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 Wisconsin