NPI 1093790065

Raymond James Sullivan, MD

Practitioner Anesthesiology Physician Edgewood, KY

Practice location

Address: 20 Medical Village Dr Independent Anesthesiologists. Psc, Edgewood, KY 41017
Phone: (859) 341-7246
Fax: (859) 341-7867
Mailing address: 20 Medical Village Dr STE 258, Edgewood, KY 41017

Registered specialties

Anesthesiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207L00000X Licence 26391 (KY)

Other Anesthesiology providers in Kentucky →

Registry record

NPI: 1093790065
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Dec 2005
Record last updated: 20 Feb 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.