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

KEVIN SULLIVAN, MS, LAT, ATC

Active Sole Proprietor

KEVIN SULLIVAN, MS, LAT, ATC is a Athletic Trainer healthcare provider located in MCDONOUGH, Georgia. NPI 1750734992 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · MCDONOUGH, GA

Registration Details

NPI Number
1750734992
Provider Type
Individual
Gender
Male
NPI Issued
Jul 22, 2016 (10.020586321792 yrs)
Last Updated
Jul 22, 2016
License
AT002677 (GA)
Sole Proprietor
Yes

Practice Information

Address
936 WYNN RD
MCDONOUGH, GA, 302525802
Browse GA providers · Browse ZIP 30252
Phone
4043144754
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in MCDONOUGH, GA

Name Credential NPI
DANIEL R. TRIBBY AT-C 1609830363
JAMES PHILLIP WRYE ATC, CSCS 1881620417
MR. JAMES RANDALL BRADBERRY JR. ATC, LAT 1891899290
GILBERT SUMANG PATNUBAY ATC 1790826121
BRANDON RISHAR JOYNER ATC, CSCS 1588958664
MAGGIE ALYSSA EDENFIELD ATC 1770065146
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.