Sullivan, Kelli M

Sullivan, Kelli M is an individual health care provider with primary practice located at 5430 W Glenn Dr , Glendale AZ 85301-2628. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Sullivan, Kelli M can be contacted via phone (623) 915-0345.

Contact Information

Primary practice address
5430 W Glenn Dr Glendale AZ 85301-2628
Phone: (623) 915-0345
Fax: (623) 937-5425
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 2580 Arizona

Profile Details

NPI number 1609911148
LBN Legal business name Sullivan, Kelli M
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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