Individual provider · Type 1 NPI

Kristi R. Sullivan

Radiology Clinic/Center · St. Petersburg, FL

NPI number 1659086189 Active

Practice location

6101 Central Ave
St. Petersburg, FL 33710-8529

Fax (727) 341-1182

Mailing address

4543 Indianapolis St NE
St. Petersburg, FL 33703-4316

Specialties and licenses

TaxonomyCodeLicense
Radiology Clinic/Center Primary 261QR0200XNone listed

Radiology Clinic/Center: Definition to come...

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About NPI 1659086189

Kristi R. Sullivan's National Provider Identifier is 1659086189, issued on Jan 19, 2023. The primary taxonomy on file is Radiology Clinic/Center (261QR0200X), and the practice location is in St. Petersburg, FL. The record was last updated on Jan 19, 2023.