Individual
DR. KEVIN GEORGE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 OAK ST, EMERGENCY DEPT, FARMVILLE, VA 23901-1199
(434) 392-8811
Mailing address
1192 FOX HORN CT, CHARLOTTESVILLE, VA 22902-7297
(434) 249-8402
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
1710277587
VA
Other
Enumeration date
04/14/2011
Last updated
10/20/2016
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