Sullivan, Kevin

Sullivan, Kevin is an sole proprietor health care provider with primary practice located at 541 Historic Highway 441 , Demorest GA 30535. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Sullivan, Kevin can be contacted via phone (706) 839-4000.

Contact Information

Primary practice address
541 Historic Highway 441 Demorest GA 30535
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301106158 Michigan
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 82648 Georgia

Profile Details

NPI number 1346656170
LBN Legal business name Sullivan, Kevin
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 1st, 2014
Last updated Aug 19th, 2019 - about 6 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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