Kerry M. Sullivan in Oakland - Pediatric Surgery
Kerry M. Sullivan - NPI 1861566176
Kerry M. Sullivan is a Pediatric Surgery in Oakland, California. Kerry M. Sullivan practices all healthcare services and medical treatments related to Pediatric Surgery. The NPI Number for Kerry M. Sullivan is 1861566176. The last update date is 2021-12-13.
Kerry M. Sullivan's current location address is 1800 Harrison St Fl 7, Oakland, California. You can contact this provider via phone number 5106256262. The mailing address for Kerry M. Sullivan is 1800 Harrison St Fl 7, Oakland, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kerry M. Sullivan |
|---|---|
| Address | 1800 Harrison St Fl 7, Oakland, California |
| Phone Number | 5106256262 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1861566176 |
|---|---|
| Provider Enumeration Date | 2006-11-20 |
| Last Updated Date | 2021-12-13 |
Provider Mailing Address Detail
| Address | 1800 Harrison St Fl 7 |
|---|---|
| City | Oakland |
| State | California (CA) |
| Post Code | 946123466 |
| Phone Number | 5106256262 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Surgery |
|---|---|
| Taxonomy | 2086S0120X |
| Licence No | G74971 |
|
Definition: A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00G749710 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Kerry M. Sullivan by the Centers for Medicare & Medicaid Services?
The Kerry M. Sullivan has been assigned the NPI (National Provider Identifier) 1861566176 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Kerry M. Sullivan?
The Kerry M. Sullivan is physically situated at 1800 Harrison St Fl 7, in the city of Oakland, state of CA, with the postal code 946123466.
What is Kerry M. Sullivan's area of expertise and its corresponding taxonomy classification?
The Kerry M. Sullivan's field of specialization is Pediatric Surgery, and it falls under the taxonomy code 2086S0120X, which categorizes healthcare providers based on their areas of practice.
When was the Kerry M. Sullivan's 1861566176 issued?
The Kerry M. Sullivan's 1861566176 was issued on 2006-11-20.
As of what date were the Kerry M. Sullivan's details last updated?
The information pertaining to the Kerry M. Sullivan, including its address, specialty, and other details, was most recently updated on 2021-12-13.