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

Kevin Henderson O'Sullivan, MD

Individual provider Family Medicine Physician · NPI 1922492859

Kevin Henderson O'Sullivan, MD is a Family Practice in Texarkana, Arkansas. Graduated from University of Arkansas College of Medicine in 2015, 11 years ago. Practices with Collom and Carney Clinic Association, a 52-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
11
Trained at
University of Arkansas College of Medicine
Licensed in
AR
In the registry since
2015
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

1307 Trinity Blvd
Texarkana, AR 71854-8310
Phone: (870) 773-6467
Fax: (870) 216-0061
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence E-11617 (AR)

Record details

NPI number1922492859
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 28, 2015
Last updated in NPPESJune 20, 2022
Certification dateJune 1, 2022

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Collom And Carney Clinic Association — 52 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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