Kelly Glen Sullivan is a durable medical equipment medical supplies in Beavercreek, OH. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. Kelly Glen Sullivan NPI is 1134642267. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
3345 SEAJAY DR
BEAVERCREEK, OH
ZIP 45430-365
Phone: (937) 232-7468
The enumeration date for this NPI number is 7/20/2017 and was last updated on 7/21/2022.