Sullivan, Kelly E
Sullivan, Kelly E is an sole proprietor health care provider with primary practice located at 10020 Southern Maryland Blvd Ste 202 , Dunkirk MD 20754-3055. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Sullivan, Kelly E can be contacted via phone (202) 466-7546.Contact Information
Primary practice address
10020 Southern Maryland Blvd Ste 202
Dunkirk MD 20754-3055
Phone: (202) 466-7546
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R145166 | Maryland |
Profile Details
| NPI number | 1144832205 |
|---|---|
| LBN Legal business name | Sullivan, Kelly E |
| Credentials | CRNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 20th, 2020 |
| Last updated | Aug 20th, 2020 - about 4 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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