IndividualActive
Kerry Sullivan, MD
NPI 1861566176 · Pediatric Surgery Physician · Santa Clara, CA
Provider details
- NPI number
- 1861566176
- Entity type
- Individual
- Primary specialty
- Pediatric Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- G74971 (CA)
Mailing address
1800 Harrison St Fl 7
Oakland, CA 94612-3466
Registry dates
- Enumerated
- 2006-11-20
- Last updated
- 2021-12-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.