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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1083586473

Keri Renee Sullivan is a Student in an Organized Health Care Education/Training Program in Richmond, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2025
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Practice location Address checks out

165 22nd St
Richmond, CA 94801-3203
Phone: (510) 233-2141
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (CA)

Record details

NPI number1083586473
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 23, 2025
Last updated in NPPESSeptember 23, 2025
Certification dateSeptember 23, 2025
Mailing address107 Santa Fe Ave, Richmond, CA 94801-3927

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