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

Individual provider Physician Assistant · NPI 1336325067

Kezia Sullivan, RPA-C is a Physician Assistant in Auburn, New York. Works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2008
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Practice location Address checks out

17 Lansing St
Auburn, NY 13021-1983
Phone: (315) 567-0437
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4900 Broad Rd, Syracuse, NY 13215-2265 — (315) 492-5535

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 011828 (NY)

Record details

NPI number1336325067
Entity typeIndividual (Type 1)
GenderFemale
Credentials RPA-C
Sole proprietorNo
NPI enumeratedJanuary 11, 2008
Last updated in NPPESMarch 4, 2019

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