Individual provider · Type 1 NPI

Kandis Kay Sullivan

Primary Care Nurse Practitioner · Tomah, WI

NPI number 1861714917 Active

About NPI 1861714917

Kandis Kay Sullivan's National Provider Identifier is 1861714917, issued on Feb 17, 2010. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Tomah, WI. The record was last updated on Jul 19, 2016.