| Kevin Sullivan, PA | |
|
Po Box 1049, Smithfield, NC 27577-1049 | |
| (919) 938-3848 | |
| (919) 938-1102 |
| Full Name | Kevin Sullivan |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | Po Box 1049, Smithfield, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780927897 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 188169 (North Carolina) | Primary |
| Entity Name | Johnston County |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528157211 PECOS PAC ID: 8224011861 Enrollment ID: O20040612000426 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin Sullivan, PA 83 Lewis Street Pob 669, Dryden, NY 13053 Ph: (607) 844-8201 | Kevin Sullivan, PA Po Box 1049, Smithfield, NC 27577-1049 Ph: (919) 938-3848 |
Mrs. Rebecca Lloyd Reynolds, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 509 N Brightleaf Blvd, Smithfield, NC 27577 Phone: 919-938-7189 |
Aubrey Turner Franks, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 509 N Brightleaf Blvd, Smithfield, NC 27577 Phone: 919-989-7909 |
Sallie Walker Dubose, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 509 N Brightleaf Blvd, Smithfield, NC 27577 Phone: 910-893-1690 |
Daniel William Stephenson, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 509 N Brightleaf Blvd, Smithfield, NC 27577 Phone: 919-934-8171 |
Adam Aydin Atik, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 509 N Brightleaf Blvd, Smithfield, NC 27577 Phone: 919-934-8171 |
Michael M Lehman, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 509 N Brightleaf Blvd, Smithfield, NC 27577 Phone: 919-934-8171 |
Jessica Danielle Rakes, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 938 N Brightleaf Blvd, Smithfield, NC 27577 Phone: 919-235-1525 |