KEZIA P SULLIVAN

AUBURN COMMUNITY HOSPITAL

Dr KEZIA P SULLIVAN is a female medical professional, specializing in Physician Assistant. She graduated in 2006.

Contact

AUBURN COMMUNITY HOSPITAL

17 LANSING ST
AUBURN
NY
130211983

Tel: 3152557393

KEZIA P SULLIVAN Information

Npi 1336325067
Pac Id 0648465690
Professional Enrollment Id I20101116000597
Last Name SULLIVAN
First Name KEZIA
Middle Name P
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2006
Primary Specialty PHYSICIAN ASSISTANT
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name AUBURN COMMUNITY HOSPITAL
Group Practice Pac Id 2365346525
Number Of Group Practice Members 34
Line 1 Street Address 17 LANSING ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City AUBURN
State NY
Zip Code 130211983
Phone Number 3152557393
Hospital Affiliation Ccn 1 330235
Hospital Affiliation Lbn 1 AUBURN COMMUNITY HOSPITAL
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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