Individual
MS. KATHLEEN CONNELLY SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, PA-C
Contact information
Practice address
2 FOGG RD, WEYMOUTH, MA 02190
(781) 624-8000
Mailing address
6 DOVER CIR, FRANKLIN, MA 02038-1548
(508) 212-2838
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
AP2616
MA
Other
Enumeration date
10/01/2008
Last updated
02/23/2015
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