Individual
LIAM KELLY SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7160 RAFAEL RIVERA WAY STE 210, LAS VEGAS, NV 89113-5395
(702) 878-0070
(702) 805-0307
Mailing address
PO BOX 840857, DALLAS, TX 75284-0857
(725) 204-4632
(702) 805-0307
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
24584
NV
Other
Enumeration date
03/21/2017
Last updated
01/03/2024
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