Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KEVIN DOERR SULLIVAN, P.A.
ActiveMR. KEVIN DOERR SULLIVAN, P.A. is a Physician Assistant healthcare provider located in IONE, Washington. NPI 1356886998 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · IONE, WA
Registration Details
- NPI Number
- 1356886998
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 5, 2017 (9.6400020927098 yrs)
- Last Updated
- Feb 24, 2017
- Licenses
-
TA60724212 (WA)PA60716898 (WA)
Practice Information
- Address
-
208 CEDAR CREEK TERIONE, WA, 991395011Browse WA providers · Browse ZIP 99139
- Phone
- 5094423514
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
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.