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

KERRY P SULLIVAN, OD

Active Sole Proprietor

KERRY P SULLIVAN, OD is a Optometrist healthcare provider located in WINDSOR, North Carolina. NPI 1326154477 is currently active in the NPPES registry. Verify at CMS.

Optometrist · WINDSOR, NC

Registration Details

NPI Number
1326154477
Provider Type
Individual
Gender
Male
NPI Issued
Aug 22, 2006 (19.968823911201 yrs)
Last Updated
May 8, 2008
License
1268 (NC)
Sole Proprietor
Yes

Practice Information

Address
106 N KING ST
WINDSOR, NC, 279836863
Browse NC providers · Browse ZIP 27983
Phone
2527943381
Primary Specialty
Optometrist
152W00000X
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.