Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kevin L. Sullivan MD, PC

Organization Vascular & Interventional Radiology Physician · NPI 1750551834

Kevin L. Sullivan MD, PC is a Vascular & Interventional Radiology Physician in Decatur, Georgia. Registered with an NPI since 2008.

In the registry since
2008
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

250 E Ponce De Leon Ave
Decatur, GA 30030-3440
Phone: (404) 377-9171
Fax: (404) 977-9172
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X

Record details

NPI number1750551834
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kevin Sullivan — Md · (404) 377-9171
NPI enumeratedMarch 5, 2008
Last updated in NPPESOctober 20, 2016
Mailing address40 Valley Stream Pkwy, Ste 100, Malvern, PA 19355-1407

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