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Kelly Sullivan
NPI 1154590651 · on the registry since 2008 · sole proprietor
Practice
- Address
- 275 George St
Bridgeport, CT 06604 - Phone
- (203) 576-8462
- Organisation at this address
- City Of Bridgeport Health Dept. School Based Health Centers
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Licence states on file
- CT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2008-02-28
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 Connecticut