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Dr. Kelly Ingrid Sullivan, MD
Pediatrics Physician in College Station, Texas
NPI 1043492291

Kelly Ingrid Sullivan is a Pediatrics Physician based in College Station, TX. Kelly Ingrid Sullivan practices in College Station, TX and has the professional credentials of MD. The NPI Number for Kelly Ingrid Sullivan is 1043492291 and holds a License No. (Texas).

The current practice location address for Kelly Ingrid Sullivan is 1602 Rock Prairie Rd, College Station, TX and can be reached out via phone at 979-696-4440 and via fax at 979-696-7812.

Location: 1602 Rock Prairie Rd, College Station, TX, 77845-8306
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043492291
Provider Name
Kelly Ingrid Sullivan
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1602 Rock Prairie Rd, College Station, TX, 77845-8306
Phone Number
979-696-4440
Fax Number
979-696-7812
Provider Enumeration Date
11/29/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1602 Rock Prairie Rd
City
College Station
State
Texas
Zip
77845-8306
Phone Number
979-696-4440
Fax Number
979-696-7812
person
Provider Business Mailing Address Details
Address
1602 Rock Prairie Rd
City
College Station
State
Texas
Zip
77845-8306
Phone Number
979-696-4440
Fax Number
979-696-7812
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
N1166 (Texas)
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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