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Kaila Rae Sullivan, DO
Family Medicine Physician in Mankato, Minnesota
NPI 1629659743

Kaila Rae Sullivan is a Family Medicine Physician based in Rochester, MN. Kaila Rae Sullivan practices in Mankato, MN and has the professional credentials of DO. The NPI Number for Kaila Rae Sullivan is 1629659743 and holds a License No. 31906 (Minnesota).

The current practice location address for Kaila Rae Sullivan is 101 Martin Luther King Jr. Dr, Mankato, MN and can be reached out via phone at 507-594-6572 and via fax at 507-594-6959.

Location: 101 Martin Luther King Jr. Dr, Mankato, MN, 55905-6460
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629659743
Provider Name
Kaila Rae Sullivan
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
101 Martin Luther King Jr. Dr, Mankato, MN, 55905-6460
Phone Number
507-594-6572
Fax Number
507-594-6959
Provider Enumeration Date
04/20/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
101 Martin Luther King Jr. Dr
City
Mankato
State
Minnesota
Zip
56001-6460
Phone Number
507-594-6572
Fax Number
507-594-6959
person
Provider Business Mailing Address Details
Address
101 Martin Luther King Jr. Dr
City
Mankato
State
Minnesota
Zip
56001-6460
Phone Number
507-594-6572
Fax Number
507-594-6959
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
()
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
31906 (Minnesota)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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