Kevin Sullivan

Pediatrics Physician · Kennesaw, GA

Individual Active NPI

NPI number 1003497801

Practice location

3150 Cobb Pkwy NW Ste 130
Kennesaw, GA 30152-1007
Phone
(770) 966-0778

Open in Google Maps

NPI record

NPI
1003497801
Entity type
Individual (Type 1)
Enumeration date
April 14, 2021
Last updated
February 26, 2025
Certified
February 26, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X 101921 GA

Mailing address

3664 Outlook Ct NE
Marietta, GA 30066-1788
Phone
(678) 478-0853

About Kevin Sullivan

Kevin Sullivan is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 3150 Cobb Pkwy NW Ste 130, Kennesaw, GA 30152-1007. The NPI number 1003497801 was assigned on April 14, 2021 and the record was last updated on February 26, 2025.

Kevin Sullivan lists a license in the registry: #101921 (GA) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kevin Sullivan?

The NPI number is 1003497801.

What is the phone number of Kevin Sullivan?

The phone number listed for the practice location is (770) 966-0778.

Where is Kevin Sullivan located?

3150 Cobb Pkwy NW Ste 130, Kennesaw, GA 30152-1007.

What is the taxonomy code for Kevin Sullivan?

The primary taxonomy code is 208000000X – Pediatrics Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Pediatrics Physician providers in Kennesaw

All Pediatrics Physician providers in Kennesaw, GA →