Sullivan, Kathy Rebecca

Sullivan, Kathy Rebecca is an individual health care provider with primary practice located at Msron Five Medical Department Nolf Ib Building 169, San Diego CA 92135. She recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as her primary health care specialty. Sullivan, Kathy Rebecca can be contacted via phone (619) 437-9382.

Contact Information

Primary practice address
Msron Five Medical Department Nolf Ib Building 169 San Diego CA 92135
Phone: (619) 437-9382
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1508006149
LBN Legal business name Sullivan, Kathy Rebecca
Credentials IDC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2009
Last updated Feb 23rd, 2009 - about 15 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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