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

Dr. Kerry Sullivan, DO

Individual provider Diagnostic Radiology Physician · NPI 1093717548

Dr. Kerry Sullivan, DO is a Diagnostic Radiology Physician in Eden Prairie, Minnesota. Licensed in Ohio. Registered with an NPI since 2005.

Licensed in
OH
In the registry since
2005
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

11995 Singletree Ln Ste 500
Eden Prairie, MN 55344-5349
Phone: (952) 595-1301
Fax: (612) 294-4903
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 34003443 (OH)

Record details

NPI number1093717548
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedAugust 15, 2005
Last updated in NPPESFebruary 4, 2021
Certification dateFebruary 4, 2021
Mailing address11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349

Other providers in Eden Prairie