Individual provider · Type 1 NPI

Kezia Sullivan, RPA-C

Physician Assistant · Auburn, NY

NPI number 1336325067 Active

Practice location

17 Lansing St
Auburn, NY 13021-1983

Mailing address

PO Box 2
Poplar Ridge, NY 13139-0002

Other practice locations

  • 4900 Broad Rd, Syracuse, NY 13215-2265 · (315) 492-5535

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X011828 (NY)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1336325067

Kezia Sullivan, RPA-C's National Provider Identifier is 1336325067, issued on Jan 11, 2008. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Auburn, NY. The record was last updated on Mar 4, 2019.