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
Fax: (215) 590-4529
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831106863 NPPES
Pennsylvania MEDICAID 001431101
Pennsylvania MEDICAID 5617308

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