Individual
DR. KATHLEEN SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
194 COHASSET RD, CHICO, CA 95926-2202
(530) 893-2303
(530) 893-3607
Mailing address
194 COHASSET RD, CHICO, CA 95926-2202
(530) 893-2303
(530) 893-3607
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A62975
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A629750
—
CA
Enumeration date
06/24/2005
Last updated
04/17/2009
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