Individual provider · Type 1 NPI

Keri Renee Sullivan

Student in an Organized Health Care Education/Training Program · Richmond, CA

NPI number 1083586473 Active

Practice location

165 22nd St
Richmond, CA 94801-3203

Call (510) 233-2141 Map

Mailing address

107 Santa Fe Ave
Richmond, CA 94801-3927

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1083586473

Keri Renee Sullivan's National Provider Identifier is 1083586473, issued on Sep 23, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Richmond, CA. The record was last updated on Sep 23, 2025.