Individual provider · Type 1 NPI

Mason Thomas Sullivan

Student in an Organized Health Care Education/Training Program · Lexington, KY

NPI number 1124932553 Active

Practice location

780 Rose Street
Lexington, KY 40536-0001

Call (859) 940-2698 Map

Mailing address

311 Meadow Ln
Lebanon, KY 40033-1979

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1124932553

Mason Thomas Sullivan's National Provider Identifier is 1124932553, issued on Oct 1, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lexington, KY. The record was last updated on Oct 1, 2026.