Sullivan, Kelly

Sullivan, Kelly is an sole proprietor health care provider with primary practice located at 2 W Crescent Park , Warren PA 16365-2111. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Sullivan, Kelly can be contacted via phone (814) 723-3300.

Contact Information

Primary practice address
2 W Crescent Park Warren PA 16365-2111
Phone: (814) 723-3300
Fax: (814) 726-9412
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family Health 364SF0001X SP015625 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X SP015625 Pennsylvania

Profile Details

NPI number 1114392735
LBN Legal business name Sullivan, Kelly
Credentials CRNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 8th, 2015
Last updated Oct 3rd, 2018 - about 7 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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