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

Kevin Sullivan, PA

Individual provider Physician Assistant · NPI 1780927897

Kevin Sullivan, PA is a Physician Assistant in Smithfield, North Carolina. Licensed in North Carolina. Registered with an NPI since 2013.

Licensed in
NC
In the registry since
2013
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location PO Box

The provider listed a PO Box rather than a street location, so this is not a walk-in address.

PO Box 1049
Smithfield, NC 27577-1049
Phone: (919) 938-3848
Fax: (919) 938-1102
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 188169 (NC)

Record details

NPI number1780927897
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 27, 2013
Last updated in NPPESJune 26, 2024
Certification dateJune 26, 2024
Mailing address83 Lewis Street Pob 669, Dryden, NY 13053

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