Sullivan, Kevin J.
Sullivan, Kevin J. is an individual health care provider with primary practice located at 1600 Sw Archer Rd , Gainesville FL 32610-8426. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pediatric Anesthesiology, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine. Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine is his primary health care specialty. Sullivan, Kevin J. can be contacted via phone (352) 273-7770.Contact Information
Primary practice address
1600 Sw Archer Rd
Gainesville FL 32610-8426
Phone: (352) 273-7770
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | ME70848 | Florida |
| Allopathic & Osteopathic Physicians / Pediatric Anesthesiology | 207LP3000X | ME0070848 | Florida |
| Allopathic & Osteopathic Physicians / Pediatric Anesthesiology | 207LP3000X | ME70848 | Florida |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ME70848 | Florida |
| Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | ME0070848 | Florida |
| Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | ME70848 | Florida |
Profile Details
| NPI number | 1700856291 |
|---|---|
| LBN Legal business name | Sullivan, Kevin J. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2006 |
| Last updated | Oct 30th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700856291 | NPPES |
| Florida | MEDICAID | 253962400 | |
| Florida | MEDICAID | 4047441 | |
| Florida | MEDICAID | 000788686A | |
| Florida | MEDICAID | 000788686C |
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