Sullivan, Kyle Robert

Sullivan, Kyle Robert is an individual health care provider with primary practice located at 2635 W Deschutes Ave , Kennewick WA 99336-3004. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Community Health Worker. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Sullivan, Kyle Robert can be contacted via phone (509) 783-0500.

Contact Information

Primary practice address
2635 W Deschutes Ave Kennewick WA 99336-3004
Phone: (509) 783-0500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Washington
Other Service Providers / Community Health Worker 172V00000X Washington
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LH60032254 Washington

Profile Details

NPI number 1982905105
LBN Legal business name Sullivan, Kyle Robert
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2010
Last updated Apr 21st, 2025 - about last year

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.

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