David Lee Sullivan Jr.
Case Manager/Care Coordinator in Louisville, KY. Individual provider (NPI-1).
NPI number1669966966
StatusActive
Last updated in NPPESJun 20, 2018
Details
- NPI
- 1669966966
- Entity type
- Individual (NPI-1)
- Name
- David Lee Sullivan Jr.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 20, 2018
- Last updated
- Jun 20, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
513 Cannons LnLouisville, KY 40207-3645
Phone 502-403-6886
Mailing address
513 Cannons LnLouisville, KY 40207-3645
Phone 502-403-6886
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 468 Case Manager/Care Coordinator providers in Louisville · All 27,512 providers in Louisville
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