Search › Ohio › 332B00000X
Kelly Sullivan
NPI 1134642267 · on the registry since 2017 · sole proprietor
Practice
- Address
- 3345 Seajay Dr
Beavercreek, OH 45430 - Phone
- (937) 232-7468
Registry record
- Primary taxonomy
- 332B00000X
332B00000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-07-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio