Individual provider · Type 1 NPI

Katelyn Sullivan, DO

Student in an Organized Health Care Education/Training Program · South Lyon, MI

NPI number 1245025196 Active

Practice location

210 N Lafayette St
South Lyon, MI 48178-2048

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 1245025196

Katelyn Sullivan, DO's National Provider Identifier is 1245025196, issued on Apr 11, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in South Lyon, MI. The record was last updated on Apr 11, 2025.