Individual
KEVIN HENDERSON O'SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1307 TRINITY BLVD, TEXARKANA, AR 71854-8310
(870) 773-6467
(870) 216-0061
Mailing address
1307 TRINITY BLVD, TEXARKANA, AR 71854-8310
(870) 779-6093
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E-11617
AR
Other
Enumeration date
03/28/2015
Last updated
06/20/2022
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