Individual
KATHRYN SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
60 MDG, 101 BODIN CIRCLE, TRAVIS AFB, CA 94535-1800
(707) 423-7401
Mailing address
101 BODIN CIR, TRAVIS AFB, CA 94535-1809
(720) 220-4403
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
0101249048
VA
208800000X
Urology Physician
V5135
TX
Other
Enumeration date
01/26/2007
Last updated
04/27/2026
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