Individual provider · Type 1 NPI
Kent Sullivan
Home Modifications Contractor · Bondurant, IA
NPI number
1881406684
Active
Practice location
206 Main St SE
Bondurant, IA 50035-1048
Mailing address
PO Box 235
Bondurant, IA 50035-0235
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Contractor | 171W00000X | C127019 (IA) |
| Home Modifications Contractor Primary | 171WH0202X | C127019 (IA) |
Home Modifications Contractor: A contractor who makes modifications to homes to accommodate a health condition.
Another provider at this address
About NPI 1881406684
Kent Sullivan's National Provider Identifier is 1881406684, issued on Jan 21, 2025. The primary taxonomy on file is Home Modifications Contractor (171WH0202X), and the practice location is in Bondurant, IA. The record was last updated on Jan 21, 2025.