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DR. KATELYN SULLIVAN DO
NPI 1245025196
Student in an Organized Health Care Education/Training Program in South Lyon, MI

Active since April 11, 2025
210 N LAFAYETTE ST, SOUTH LYON, MI 48178(248) 437-6300 Get Directions Write a Review

NPPES record last updated: April 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Katelyn Sullivan Do NPPES

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

DR. KATELYN SULLIVAN DO (NPI 1245025196) is an individual student in an organized health care education/training program in South Lyon, Michigan and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1245025196
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. KATELYN SULLIVANCredential: DO
Location Address210 N LAFAYETTE STSouth Lyon, MI 48178-2048
Mailing Address210 N Lafayette StSouth Lyon, MI 48178-2048
Phone(248) 437-6300
Sole ProprietorNo
Enumeration DateApril 11, 2025
NPPES CertifiedApril 11, 2025
✔ NPI 1245025196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
210 N LAFAYETTE ST, South Lyon, MI 48178
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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.

MR. DYLAN THOMAS SCHEID
Nurse Practitioner (Family)
210 N LAFAYETTE ST
SOUTH LYON, MI 48178
Oakland County (248) 437-1744
DR. STEVE SUNGMIN KIM M.D.
Family Medicine
210 N LAFAYETTE ST
SOUTH LYON, MI 48178
Oakland County (248) 437-1744
EMILY VOTEL
Student in an Organized Health Care Education/Training Program
210 N LAFAYETTE ST
SOUTH LYON, MI 48178
Oakland County (248) 437-6300
MONICA KANDOLA M.D
Student in an Organized Health Care Education/Training Program
210 N LAFAYETTE ST
SOUTH LYON, MI 48178
Oakland County (248) 437-1744
LAUREN H. GROSKAUFMANIS MD
Family Medicine
210 N LAFAYETTE ST
SOUTH LYON, MI 48178
Oakland County (248) 437-1744
CHEROLEE RICKEY TREMBATH MD
Family Medicine
210 N LAFAYETTE ST
SOUTH LYON, MI 48178
Oakland County (248) 437-1744
SAMAR DAWOOD M.D.
Family Medicine
210 N LAFAYETTE ST
SOUTH LYON, MI 48178
Oakland County (248) 437-1744
BRIDGET SHAKIRA MILLER M.D.,
Family Medicine
210 N LAFAYETTE ST
SOUTH LYON, MI 48178
Oakland County (248) 437-1744

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 Katelyn Sullivan's NPI number?

The NPI number for Katelyn Sullivan is 1245025196. It was assigned to this individual provider in the NPPES registry on April 11, 2025.

Where is Katelyn Sullivan located?

Katelyn Sullivan practices at 210 N Lafayette St, South Lyon, MI 48178. The listed phone number is (248) 437-6300.

What is Katelyn Sullivan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Katelyn Sullivan was last updated on April 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.