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Katherine Ann Sullivan

Student in an Organized Health Care Education/Training Program in Bala Cynwyd, PA. Individual provider (NPI-1).

NPI number1386586469
StatusActive
Last updated in NPPESJun 29, 2026

Details

NPI
1386586469
Entity type
Individual (NPI-1)
Name
Katherine Ann Sullivan
Sex
Female
Sole proprietor
No
Enumeration date
Apr 7, 2026
Certification date
Jun 29, 2026
Last updated
Jun 29, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

1 Belmont Ave Ste 516
Bala Cynwyd, PA 19004-1608

Phone 484-278-4134

Mailing address

1 Belmont Ave Ste 516
Bala Cynwyd, PA 19004-1608

Phone 484-278-4134

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