SearchWashington207QG0300X

Kelly O'Sullivan, M.D

NPI 1750332474 · on the registry since 2006

Practice

Address
750 Se Fairwinds Loop
Vancouver, WA 98661
Phone
(231) 838-2765

Additional practice sites

  • 3400 Main St, Vancouver, WA

Registry record

Primary taxonomy
207QG0300X
207QG0300X
Also registered as
207Q00000X
Licence states on file
WA, MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-03-17

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 Washington