Sullivan, Kevin M

Sullivan, Kevin M is an individual health care provider with primary practice located at 1600 Rockland Rd , Wilmington DE 19803-3607. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is his primary health care specialty. Sullivan, Kevin M can be contacted via phone (302) 651-4200.

Contact Information

Primary practice address
1600 Rockland Rd Wilmington DE 19803-3607
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X C10008056 Delaware
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X MD433723 Pennsylvania

Profile Details

NPI number 1568557643
LBN Legal business name Sullivan, Kevin M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Nov 15th, 2012 - about 12 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 1568557643 NPPES
Delaware Other C10008056 MEDICAL LICENSE

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