KELLY SULLIVANM.D.P.C. NPI 1134309198

NPI Information

KELLY SULLIVAN,M.D.,P.C. is a plastic and reconstructive surgery surgery in Annapolis, MD. The provider is a surgeon who specializes in plastic and reconstructive surgery. KELLY SULLIVAN,M.D.,P.C. NPI is 1134309198. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Plastic & Reconstructive Surgery Of Annapolis.

The provider's business location address is:

888 BESTGATE RD
SUITE 208
ANNAPOLIS, MD
ZIP 21401-091
Phone: (410) 571-1280
Fax: (410) 571-1288

The provider's authorized official is Kelly M Sullivan .
The authorized official title is President/owner and has the following contact phone number (410) 571-1280.

The enumeration date for this NPI number is 11/7/2007 and was last updated on 11/7/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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