Ms. Kathleen C Sullivan, MS, PA-C
Physician Assistant in Weymouth, Massachusetts
1639320336- Practice location
- 2 Fogg RD, Weymouth, MA 02190
- Phone
- 781-624-8000
- Fax
- —
- Last updated
- February 23, 2015
Kathleen Connelly Sullivan is a Physician Assistant based in Weymouth, MA. Kathleen Connelly Sullivan practices in Weymouth, MA and has the professional credentials of MS, PA-C. The NPI Number for Kathleen Connelly Sullivan is 1639320336 and holds a License No. AP2616 (MA). The current practice location address for Kathleen Connelly Sullivan is 2 Fogg RD, Weymouth, MA 02190 and can be reached out via phone at 781-624-8000.
Provider Profile Details
- NPI Number
- 1639320336
- Provider Name
- Kathleen Connelly Sullivan
- Credential
- MS, PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 2 Fogg RD, Weymouth, MA 02190
- Phone Number
- 781-624-8000
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- October 1, 2008
- Last Update Date
- February 23, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2 Fogg RD
Weymouth, MA 02190 - City
- Weymouth
- State
- Massachusetts
- Zip
- 02190
- Phone Number
- 781-624-8000
Provider Business Mailing Address Details
- Address
- 6 Dover Cir
Franklin, MA 02038-1548 - City
- Franklin
- State
- MA
- Zip
- 02038-1548
- Phone Number
- 508-212-2838
License Information
- License Number
- AP2616
- License State
- MA
- Taxonomy
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Ms. Kathleen C Sullivan, MS, PA-C?
The NPI number of Ms. Kathleen C Sullivan, MS, PA-C is 1639320336. It was assigned on October 1, 2008 and is currently active in the NPPES registry.
What is the specialty of Ms. Kathleen C Sullivan, MS, PA-C?
Ms. Kathleen C Sullivan, MS, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in MA under license number AP2616.
Where does Ms. Kathleen C Sullivan, MS, PA-C practice?
The practice location is 2 Fogg RD, Weymouth, MA 02190. The office can be reached at 781-624-8000 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1639320336 directly on the NPPES registry website.