Individual
KELLY E SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
10020 SOUTHERN MARYLAND BLVD STE 202, DUNKIRK, MD 20754-3055
(202) 466-7546
Mailing address
10020 SOUTHERN MARYLAND BLVD STE 202, DUNKIRK, MD 20754-3055
(202) 466-7546
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R145166
MD
Other
Enumeration date
08/20/2020
Last updated
08/20/2020
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