DR. KELLY SULLIVAN, MD
Pediatrics
Active
Individual
NPI: 1043492291
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | No | - |
| Pediatrics | 208000000X | Yes | N1166 (TX) |
Frequently Asked Questions
NPI 1043492291 is the National Provider Identifier for DR. KELLY SULLIVAN, MD, a Pediatrics provider located in College Station, TX. This NPI was enumerated on November 29, 2007.
DR. KELLY SULLIVAN, MD practices at 1602 ROCK PRAIRIE RD, SUITE 340, College Station, TX 77845.
Quick Facts
- NPI
- 1043492291
- Type
- Individual
- Enumerated
- Nov 29, 2007
- Last Updated
- May 21, 2010
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