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

Dr. Kiah Nicole Sullivan, MD

Individual provider Pediatrics Physician · NPI 1811574403

Dr. Kiah Nicole Sullivan, MD is a Pediatric Medicine in Phoenix, Arizona. Graduated from Washington State University Elson S Floyd College of Medicine in 2021, 5 years ago. Licensed in Arizona.

Years since qualifying
5
Trained at
Washington State University Elson S Floyd College of Medicine
Licensed in
AZ
In the registry since
2021
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1919 E Thomas Rd
Phoenix, AZ 85016-7710
Phone: (602) 933-0945
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 72815 (AZ)

Record details

NPI number1811574403
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 28, 2021
Last updated in NPPESAugust 13, 2024
Certification dateAugust 13, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolWASHINGTON STATE UNIVERSITY ELSON S FLOYD COLLEGE OF MEDICINE
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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