Individual
KIMBERLY ANN SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
100 RAWLINS DR, SEAFORD, DE 19973-5881
(302) 990-3280
(302) 990-3290
Mailing address
100 RAWLINS DR, SEAFORD, DE 19973-5881
(302) 990-3280
(302) 990-3290
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
C0003687
MD
Other
Enumeration date
09/14/2009
Last updated
11/30/2018
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