Individual provider · Type 1 NPI

Kerry M. Sullivan, MD

Pediatric Surgery Physician · Santa Clara, CA

NPI number 1861566176 Active

Practice location

710 Lawrence Expy
Santa Clara, CA 95051-5173

Call (408) 851-1000 Map

Mailing address

1800 Harrison St Fl 7
Oakland, CA 94612-3466

Specialties and licenses

TaxonomyCodeLicense
Pediatric Surgery Physician Primary 2086S0120XG74971 (CA)

Pediatric Surgery Physician: A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

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About NPI 1861566176

Kerry M. Sullivan, MD's National Provider Identifier is 1861566176, issued on Nov 20, 2006. The primary taxonomy on file is Pediatric Surgery Physician (2086S0120X), and the practice location is in Santa Clara, CA. The record was last updated on Dec 13, 2021.