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Individual

DR. KELLY M SULLIVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
888 BESTGATE ROAD, SUITE 208, ANNAPOLIS, MD 21401
(410) 571-1280
(410) 571-1288
Mailing address
888 BESTGATE ROAD, SUITE 208, ANNAPOLIS, MD 21401
(410) 571-1280
(410) 571-1288

Taxonomy

Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
D59894
MD

Other

Enumeration date
08/01/2006
Last updated
09/14/2007
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