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

Mrs. Kathy Rebecca Sullivan, IDC

Individual provider Independent Duty Corpsman · NPI 1508006149

Mrs. Kathy Rebecca Sullivan, IDC is an Independent Duty Corpsman in San Diego, California. Registered with an NPI since 2009.

In the registry since
2009

Practice location Partly verified

Some contact details are missing from the federal record.

Msron Five Medical Dept Nolf IB Bldg 169
San Diego, CA 92135
Phone: (619) 437-9382
Show map & directions

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

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X

Record details

NPI number1508006149
Entity typeIndividual (Type 1)
GenderFemale
Credentials IDC
Sole proprietorNo
NPI enumeratedFebruary 23, 2009
Last updated in NPPESFebruary 23, 2009

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