Sullivan, Kevin

Sullivan, Kevin is an individual health care provider with primary practice located at 66 Pavilion Ave , Providence RI 02905-1522. He recently has only one registered license in Nursing Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Sullivan, Kevin can be contacted via phone (401) 461-9110.

Contact Information

Primary practice address
66 Pavilion Ave Providence RI 02905-1522
Phone: (401) 461-9110
Fax: (401) 461-9110
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Addiction (Substance Use Disorder) 163WA0400X RN34014 Rhode Island

Profile Details

NPI number 1568880912
LBN Legal business name Sullivan, Kevin
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2014
Last updated Apr 2nd, 2014 - about 11 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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