MR. Kermit C Sullivan III, ATC
NPI #1124157185 in Nampa, Idaho
Provider Information
- NPI Number
- 1124157185
- Entity Type
- Individual
- Name
- MR. Kermit C Sullivan III, ATC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC
- Enumeration Date
- Mar 5, 2007
- Last Updated
- Jul 8, 2007
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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