Individual
DR. KELSEY SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2110 TOWNE CENTER DR, BELLEVUE, NE 68123-6405
(402) 885-8990
Mailing address
2110 TOWNE CENTRE DR, BELLEVUE, NE 68123-6405
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7552
NE
Other
Enumeration date
06/03/2019
Last updated
12/13/2022
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