Kermit C Sullivan in Nampa - Athletic Trainer
Kermit C Sullivan - NPI 1124157185
Kermit C Sullivan is a Athletic Trainer in Nampa, Idaho. Kermit C Sullivan practices all healthcare services and medical treatments related to Athletic Trainer. The NPI Number for Kermit C Sullivan is 1124157185. The last update date is 2007-07-08.
Kermit C Sullivan's current location address is 1303 E Greenhurst Rd, Nampa, Idaho. You can contact this provider via phone number 2084687820. The mailing address for Kermit C Sullivan is 1303 E Greenhurst Rd, Nampa, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kermit C Sullivan |
|---|---|
| Address | 1303 E Greenhurst Rd, Nampa, Idaho |
| Phone Number | 2084687820 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | ATC |
NPI Number Detail
| NPI Number | 1124157185 |
|---|---|
| Provider Enumeration Date | 2007-03-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1303 E Greenhurst Rd |
|---|---|
| City | Nampa |
| State | Idaho (ID) |
| Post Code | 836867216 |
| Phone Number | 2084687820 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Athletic Trainer |
|---|---|
| Taxonomy | 2255A2300X |
| Licence No | AT-182 |
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Definition: Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-leve |
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Post Comment/ Review Below
What is the Kermit C Sullivan's 1124157185?
The Kermit C Sullivan's NPI (National Provider Identifier) Number is 1124157185. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Kermit C Sullivan?
The Kermit C Sullivan is situated at 1303 E Greenhurst Rd, in the city of Nampa, state of ID, with the zip code 836867216.
What is Kermit C Sullivan's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kermit C Sullivan is Athletic Trainer, and the taxonomy classification code that categorizes this area of expertise is 2255A2300X.
When did Kermit C Sullivan receive its 1124157185 assignment?
The Kermit C Sullivan was assigned its 1124157185 on 2007-03-05, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Kermit C Sullivan last refreshed?
The information related to the Kermit C Sullivan, including its address, specialty, and other relevant details, was last updated on 2007-07-08.