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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. KERMIT C SULLIVAN III, ATC

Active Sole Proprietor

MR. KERMIT C SULLIVAN III, ATC is a Athletic Trainer healthcare provider located in NAMPA, Idaho. NPI 1124157185 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · NAMPA, ID

Registration Details

NPI Number
1124157185
Provider Type
Individual
Gender
Male
NPI Issued
Mar 5, 2007 (19.401554477227 yrs)
Last Updated
Jul 8, 2007
License
AT-182 (ID)
Sole Proprietor
Yes

Practice Information

Address
1303 E GREENHURST RD
NAMPA, ID, 836867216
Browse ID providers · Browse ZIP 83686
Phone
2084687820
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in NAMPA, ID

Name Credential NPI
MISS LORA ELISABETH THOMPSON A.T.C. 1457406597
LAUREL EVANS ATC 1457696783
MATTHEW RAWLINS ATC, LAT 1568861284
AVERY BRIANNE CARLSON ATC, LAT 1669862884
EREN HAVRILAK 1821484809
JESSICA HARTFORD ATC 1043728595
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.