Sullivan, Kandis Kay

Sullivan, Kandis Kay is an individual health care provider with primary practice located at 500 E Veterans St , Tomah WI 54660-3105. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Sullivan, Kandis Kay can be contacted via phone (608) 372-3971.

Contact Information

Primary practice address
500 E Veterans St Tomah WI 54660-3105
Phone: (608) 372-3971
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 108168-030 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 3857-33 Wisconsin

Profile Details

NPI number 1861714917
LBN Legal business name Sullivan, Kandis Kay
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2010
Last updated Jul 19th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers