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DR. KERRY SULLIVAN D.O.
NPI 1093717548
Radiology - Diagnostic Radiology in Eden Prairie, MN

Active since August 15, 2005
11995 SINGLETREE LN STE 500, EDEN PRAIRIE, MN 55344(952) 595-1301(612) 294-4903 Get Directions Write a Review

NPPES record last updated: February 4, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kerry Sullivan D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KERRY SULLIVAN D.O. (NPI 1093717548) is an individual diagnostic radiology provider in Eden Prairie, Minnesota, licensed in Ohio (34003443) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1093717548
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. KERRY SULLIVANCredential: D.O.
Location Address11995 SINGLETREE LN STE 500Eden Prairie, MN 55344-5349
Mailing Address11995 Singletree Ln Ste 500Eden Prairie, MN 55344-5349 · (952) 595-1301 · Fax (612) 294-4903
Phone(952) 595-1301
Fax(612) 294-4903
Sole ProprietorNo
Enumeration DateAugust 15, 2005
Last NPPES UpdateFebruary 4, 2021
NPPES CertifiedFebruary 4, 2021
✔ NPI 1093717548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in OH · 34003443
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
11995 SINGLETREE LN STE 500, Eden Prairie, MN 55344
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NORNA L. KARP M.D.
Radiology (Diagnostic Radiology)
11995 SINGLETREE LN STE 500
EDEN PRAIRIE, MN 55344
Hennepin County (952) 595-1301
JACOB GEBRAEL MD
Radiology (Diagnostic Radiology)
11995 SINGLETREE LN STE 500
EDEN PRAIRIE, MN 55344
Hennepin County (952) 595-1301
DR. TRUDY J MOORE MD
Radiology (Diagnostic Radiology)
11995 SINGLETREE LN STE 500
EDEN PRAIRIE, MN 55344
Hennepin County (952) 595-1301
DR. PRITI BACHUBHAI RAM MD
Radiology (Diagnostic Radiology)
11995 SINGLETREE LN STE 500
EDEN PRAIRIE, MN 55344
Hennepin County (952) 595-1301
DR. CHRISTOPHER JAMES MACDONALD MD, PHD
Radiology (Diagnostic Radiology)
11995 SINGLETREE LN STE 500
EDEN PRAIRIE, MN 55344
Hennepin County (952) 595-1301
LEYLA NASEHI MD
Radiology (Diagnostic Neuroimaging)
11995 SINGLETREE LN STE 500
EDEN PRAIRIE, MN 55344
Hennepin County (952) 595-1301
BRIAN JOHN RISINGER MD
Radiology (Diagnostic Radiology)
11995 SINGLETREE LN STE 500
EDEN PRAIRIE, MN 55344
Hennepin County (952) 595-1301
LANDON GINSBERG M.D.
Radiology (Diagnostic Radiology)
11995 SINGLETREE LN STE 500
EDEN PRAIRIE, MN 55344
Hennepin County (952) 595-1301

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kerry Sullivan's NPI number?

The NPI number for Kerry Sullivan is 1093717548. It was assigned to this individual provider in the NPPES registry on August 15, 2005.

Where is Kerry Sullivan located?

Kerry Sullivan practices at 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344. The listed phone number is (952) 595-1301.

What is Kerry Sullivan's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Kerry Sullivan was last updated on February 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.