MR. Kyle David Sullivan

NPI #1962862474 in Seattle, Washington

Provider Information

NPI Number: 1962862474
Entity Type: Individual
Name: MR. Kyle David Sullivan
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Feb 25, 2016
Last Updated: Feb 25, 2016

Practice Location

Address: 1959 NE PACIFIC ST
City: Seattle
State: Washington
ZIP Code: 98195-0001
Phone: (206) 543-6100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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