Organization
KELLY SULLIVAN,M.D.,P.C.
Active
Other names
Plastic & Reconstructive Surgery of Annapolis
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLY M SULLIVAN M.D. (PRESIDENT/OWNER)
(410) 571-1280
Entity
Organization
Contact information
Practice address
888 BESTGATE RD, SUITE 208, ANNAPOLIS, MD 21401-3091
(410) 571-1280
(410) 571-1288
Mailing address
888 BESTGATE RD, SUITE 208, ANNAPOLIS, MD 21401-3091
(410) 571-1280
(410) 571-1288
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Enumeration date
11/07/2007
Last updated
11/07/2007
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