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

Kevin Sullivan

Individual provider Pediatrics Physician · NPI 1003497801

Kevin Sullivan is a Pediatrics Physician in Kennesaw, Georgia. Licensed in Georgia. Registered with an NPI since 2021.

Licensed in
GA
In the registry since
2021

Practice location Address checks out

3150 Cobb Pkwy NW Ste 130
Kennesaw, GA 30152-1007
Phone: (770) 966-0778
Show map & directions

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

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 101921 (GA)

Record details

NPI number1003497801
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 14, 2021
Last updated in NPPESFebruary 26, 2025
Certification dateFebruary 26, 2025
Mailing address3664 Outlook Ct Ne, Marietta, GA 30066-1788

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