Individual
DR. KEVIN GEORGE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
180 PARK AVE STE 1, PORTLAND, ME 04102-2927
(207) 874-2141
Mailing address
180 PARK AVE STE 1, PORTLAND, ME 04102-2927
(207) 874-2141
(207) 874-2164
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
255555
MA
Other
Enumeration date
06/09/2013
Last updated
04/28/2025
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