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

Kimberly Ann Sullivan, PA

Individual provider Surgical Physician Assistant · NPI 1699008359

Kimberly Ann Sullivan, PA is a Physician Assistant in Seaford, Delaware. Qualified in 2007, 19 years ago. Practices with Tidalhealth Physician Network, Inc, a 114-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
19
Licensed in
MD
In the registry since
2009
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

100 Rawlins Dr
Seaford, DE 19973-5881
Phone: (302) 990-3280
Fax: (302) 990-3290
Show map & directions

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

Additional practice locations (1)

  • 9901 Medical Center Dr, Rockville, MD 20850-3357 — (301) 315-3171

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence C0003687 (MD)

Record details

NPI number1699008359
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 14, 2009
Last updated in NPPESNovember 30, 2018

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Tidalhealth Physician Network, Inc. — 114 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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