Organization
KENT N SULLIVAN MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENT N SULLIVAN MD (PHYSICIAN OWNER)
(206) 406-5723
Entity
Organization
Contact information
Practice address
19219 51ST AVE NE, LAKE FOREST PARK, WA 98155-2940
(206) 406-5723
(206) 527-0147
Mailing address
19219 51ST AVE NE, LAKE FOREST PARK, WA 98155-2940
(206) 406-5723
(206) 527-0147
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
MD0001591
WA
Other
Enumeration date
02/29/2016
Last updated
02/29/2016
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