Individual
KAYLA SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2000 MEDICAL PKWY STE 101, ANNAPOLIS, MD 21401-3743
(410) 268-8862
Mailing address
2000 MEDICAL PKWY STE 101, ANNAPOLIS, MD 21401-3743
(410) 268-8862
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0009357
MD
Other
Enumeration date
01/06/2021
Last updated
03/19/2025
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