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

Mr. Kevin Doerr Sullivan, PA

Individual provider Physician Assistant · NPI 1356886998

Mr. Kevin Doerr Sullivan, PA is a Physician Assistant in Ione, Washington. Licensed in Washington. Registered with an NPI since 2017.

Licensed in
WA
In the registry since
2017
Specialties on file
2
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

208 Cedar Creek Ter
Ione, WA 99139-5011
Phone: (509) 442-3514
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA60716898 (WA)
Physician Assistant Taxonomy 363A00000X · Licence TA60724212 (WA)

Record details

NPI number1356886998
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 5, 2017
Last updated in NPPESFebruary 24, 2017