Individual provider · Type 1 NPI

Kacey Sullivan, PA-C

Medical Physician Assistant · Spokane, WA

NPI number 1639659733 Active

Practice location

910 W 5th Ave Ste 900
Spokane, WA 99204-2948

Fax (509) 744-1741

Other practice locations

  • 830 SW Mulvane St, Topeka, KS 66606-1654 · (785) 270-8625

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA61190646 (WA)

Medical Physician Assistant: Definition to come...

13 other providers at this address

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About NPI 1639659733

Kacey Sullivan, PA-C's National Provider Identifier is 1639659733, issued on Aug 17, 2018. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Spokane, WA. The record was last updated on Jul 23, 2024.