Sullivan, Kathleen E
Sullivan, Kathleen E is an individual health care provider with primary practice located at 3550 Market St Fl 3 Children'S Hospital Of Philadelphia - Allergy & Immun, Philadelphia PA 19104-3365. She recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Clinical & Laboratory Immunology, Allopathic & Osteopathic Physicians / Pediatric Rheumatology, Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology. Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology is her primary health care specialty. Sullivan, Kathleen E can be contacted via phone (215) 590-2549.Contact Information
Primary practice address
3550 Market St Fl 3 Children'S Hospital Of Philadelphia - Allergy & Immun
Philadelphia PA 19104-3365
Phone: (215) 590-2549
Fax: (215) 590-4529
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD050758L | Pennsylvania |
Allopathic & Osteopathic Physicians / Clinical & Laboratory Immunology | 2080I0007X | MD050758L | Pennsylvania |
Allopathic & Osteopathic Physicians / Pediatric Rheumatology | 2080P0216X | MD050758L | Pennsylvania |
Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology | 2080P0201X | MD050758L | Pennsylvania |
Profile Details
NPI number | 1831106863 |
---|---|
LBN Legal business name | Sullivan, Kathleen E |
Credentials | M.D. PHD |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 2nd, 2006 |
Last updated | Oct 30th, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1831106863 | NPPES |
Pennsylvania | MEDICAID | 001431101 | |
Pennsylvania | MEDICAID | 5617308 |
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