Kelly Sullivan is a Family in Bridgeport, Connecticut. Kelly Sullivan practices all healthcare services and medical treatments related to Family. The NPI Number for Kelly Sullivan is 1154590651. The last update date is 2008-02-28.
Kelly Sullivan's current location address is 275 George St, Bridgeport, Connecticut. You can contact this provider via phone number 2035768462. The mailing address for Kelly Sullivan is 275 George St, Bridgeport, Connecticut. To know further, please read the information below!
Provider Profile Detail
Provider Name | Kelly Sullivan |
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Address | 275 George St, Bridgeport, Connecticut |
Phone Number | 2035768462 |
Fax Number | |
Sole Proprietor | Y |
Credentials | -- |
NPI Number Detail
NPI Number | 1154590651 |
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Provider Enumeration Date | 2008-02-28 |
Last Updated Date | 2008-02-28 |
Provider Mailing Address Detail
Address | 275 George St |
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City | Bridgeport |
State | Connecticut (CT) |
Post Code | 66043320 |
Phone Number | 2035768462 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Family |
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Taxonomy | 363Lf0000X |
Licence No | 2446 |
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
2446 | CT | LICENSE |
Post Comment/ Review Below
What is the unique identifier code issued to Kelly Sullivan by the Centers for Medicare & Medicaid Services?
The Kelly Sullivan has been assigned the NPI (National Provider Identifier) 1154590651. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Kelly Sullivan's physical address?
The Kelly Sullivan is physically located at 275 George St, in the city of Bridgeport, CT, with the postal code 66043320.
What is Kelly Sullivan's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kelly Sullivan is Family, and the taxonomy classification code that categorizes this area of expertise is 363Lf0000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1154590651 to Kelly Sullivan?
The Kelly Sullivan received its 1154590651 assignment from the Centers for Medicare & Medicaid Services on 2008-02-28.
When was the Kelly Sullivan's information last updated?
The Kelly Sullivan's information was last updated on 2008-02-28.
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