NPI 1003497801

Kevin Sullivan

Practitioner Pediatrics Physician Kennesaw, GA

Practice location

Address: 3150 Cobb Pkwy NW STE 130, Kennesaw, GA 30152-1007
Phone: (770) 966-0778
Mailing address: 3664 Outlook CT NE, Marietta, GA 30066-1788

Registered specialties

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 101921 (GA)

Other Pediatrics providers in Georgia →

Registry record

NPI: 1003497801
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Apr 2021
Record last updated: 26 Feb 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.