Sullivan, Kenneth P

Sullivan, Kenneth P is an individual health care provider with primary practice located at 1416C South Randall Road Randall Square Shopping Center, Geneva IL 60134-4682. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Neuroradiology is his primary health care specialty. Sullivan, Kenneth P can be contacted via phone (630) 208-9325.

Contact Information

Primary practice address
1416C South Randall Road Randall Square Shopping Center Geneva IL 60134-4682
Phone: (630) 208-9325
Fax: (630) 208-9326
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X Illinois
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X Illinois

Profile Details

NPI number 1619929478
LBN Legal business name Sullivan, Kenneth P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Jul 8th, 2007 - about 17 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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