Sullivan, Kevin

Sullivan, Kevin is an individual health care provider with primary practice located at 8325 University Pkwy , Pensacola FL 32514-4949. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is his primary health care specialty. Sullivan, Kevin can be contacted via phone (850) 898-8000.

Contact Information

Primary practice address
8325 University Pkwy Pensacola FL 32514-4949
Phone: (850) 898-8000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 3498 New Mexico
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 19447 Florida

Profile Details

NPI number 1023479839
LBN Legal business name Sullivan, Kevin
Credentials MOTR-L
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2016
Last updated Mar 11th, 2022 - about 2 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 1023479839 NPPES
New Mexico MEDICAID 10171568
New Mexico Other 326556

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