Kyle Patrick Sullivan, C.O

NPI #1669661641 in Pleasanton, California

Provider Information

NPI Number: 1669661641
Entity Type: Individual
Name: Kyle Patrick Sullivan, C.O
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Orthotist
Credential: C.O
Enumeration Date: Oct 16, 2007
Last Updated: Oct 16, 2007

Practice Location

Address: 4479 STONERIDGE DR
Address 2: SUITE A
City: Pleasanton
State: California
ZIP Code: 94588-8448
Phone: (925) 484-6400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthotist	222Z00000X	Primary

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