Sullivan, Kenneth P.
Sullivan, Kenneth P. is an sole proprietor health care provider with primary practice located at 1104 Gleneagles Dr Sw # B , Huntsville AL 35801-6404. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Sullivan, Kenneth P. can be contacted via phone (256) 880-8202.Contact Information
Primary practice address
1104 Gleneagles Dr Sw # B
Huntsville AL 35801-6404
Phone: (256) 880-8202
Fax: (256) 880-8234
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 413 | Alabama |
Profile Details
| NPI number | 1932256302 |
|---|---|
| LBN Legal business name | Sullivan, Kenneth P. |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 5th, 2007 |
| Last updated | Jul 9th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932256302 | NPPES |
| Alabama | MEDICAID | 000070874 |
Popular Providers
-
Bibb, Margaret Louise
111 Longwood Dr Sw , Huntsville AL 35801-4522 -
Quirk, Patrick Joseph
111 Longwood Dr Sw , Huntsville AL 35801-4522 -
Wilson, Anthony Wayne
2322 Pansy St Sw , Huntsville AL 35801-3803 -
Preston, Frankie L
525 Fountain Row Sw , Huntsville AL 35801-4335 -
Rinn, Roger C.
7500 Memorial Pkwy Sw Suite 215-C, Huntsville AL 35802-2227 -
Burleson, Randal K
4040 Memorial Pkwy Sw , Huntsville AL 35802-4364 -
Seemann, Eric A
2812 Drake Ave Sw , Huntsville AL 35805-5122 -
Davis, Lynley Sheryl
4100 Goss Rd Sw , Huntsville AL 35809-7000