Kim Leann Sullivan in Fayetteville - Dental Hygienist
Kim Leann Sullivan - NPI 1891957759
Kim Leann Sullivan is a Dental Hygienist in Fayetteville, Arkansas. Kim Leann Sullivan practices all healthcare services and medical treatments related to Dental Hygienist. The NPI Number for Kim Leann Sullivan is 1891957759. The last update date is 2008-07-01.
Kim Leann Sullivan's current location address is 1100 N College Ave, Fayetteville, Arkansas. You can contact this provider via phone number 4794434301. The mailing address for Kim Leann Sullivan is 1100 N College Ave, Fayetteville, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kim Leann Sullivan |
|---|---|
| Address | 1100 N College Ave, Fayetteville, Arkansas |
| Phone Number | 4794434301 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | RDH |
NPI Number Detail
| NPI Number | 1891957759 |
|---|---|
| Provider Enumeration Date | 2008-07-01 |
| Last Updated Date | 2008-07-01 |
Provider Mailing Address Detail
| Address | 1100 N College Ave |
|---|---|
| City | Fayetteville |
| State | Arkansas (AR) |
| Post Code | 727031944 |
| Phone Number | 4794434301 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dental Hygienist |
|---|---|
| Taxonomy | 124Q00000X |
| Licence No | 752 |
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Definition: An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be |
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Post Comment/ Review Below
What is the unique identifier code issued to Kim Leann Sullivan by the Centers for Medicare & Medicaid Services (CMS)?
The Kim Leann Sullivan has been assigned the NPI (National Provider Identifier) 1891957759. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Kim Leann Sullivan's physical address?
The Kim Leann Sullivan is physically located at 1100 N College Ave, in the city of Fayetteville, AR, with the postal code 727031944.
What is Kim Leann Sullivan's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kim Leann Sullivan is Dental Hygienist, and the taxonomy code that categorizes this field of expertise is 124Q00000X.
On what date did the Kim Leann Sullivan receive its 1891957759 assignment from the Centers for Medicare & Medicaid Services?
The Kim Leann Sullivan was assigned its 1891957759 by the Centers for Medicare & Medicaid Services on 2008-07-01.
As of what date was the information regarding Kim Leann Sullivan, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kim Leann Sullivan, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-07-01.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC