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

KEVIN JOHN SULLIVAN, CRNA

Active

KEVIN JOHN SULLIVAN, CRNA is a Certified Nurse Anesthetist (CRNA) healthcare provider located in TAMUNING, Guam. NPI 1245538669 is currently active in the NPPES registry. Verify at CMS.

Certified Nurse Anesthetist (CRNA) · TAMUNING, GU

Registration Details

NPI Number
1245538669
Provider Type
Individual
Gender
Male
NPI Issued
Mar 9, 2011 (15.399475508549 yrs)
Last Updated
Mar 12, 2020
Licenses
CRNA000407 (NV)
ARNP9237910 (FL)
NP0152 (GU)

Practice Information

Address
280 PALE SAN VITORES RD
TAMUNING, GU, 969133615
Browse GU providers · Browse ZIP 96913
Phone
6716474542
Primary Specialty
Certified Nurse Anesthetist (CRNA)
367500000X

Other Certified Nurse Anesthetist (CRNA) Providers in TAMUNING, GU

Name Credential NPI
JONATHAN JENSEN CRNA 1396149134
SANGJUNG KIM 1619795424
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.