Search › Massachusetts › 363L00000X
Kelly Sullivan
NPI 1841112166 · on the registry since 2026 · sole proprietor
Practice
- Address
- 195 Dodge St
Beverly, MA 01915 - Phone
- (978) 578-8768
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Also registered as
- 363LA2100X
- Licence states on file
- MA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-08-02
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 Massachusetts