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Kelly Glen Sullivan
Durable Medical Equipment & Medical Supplies in Beavercreek, Ohio
NPI 1134642267

Kelly Glen Sullivan is a Durable Medical Equipment & Medical Supplies based in Beavercreek, OH. Kelly Glen Sullivan practices in Beavercreek, OH. The NPI Number for Kelly Glen Sullivan is 1134642267 and holds a License No. (Ohio).

The current practice location address for Kelly Glen Sullivan is 3345 Seajay Dr, Beavercreek, OH and can be reached out via phone at 937-232-7468. You can also correspond with Kelly Glen Sullivan through the mailing address at 3345 SEAJAY DR, BEAVERCREEK, OH - 45430-1365 (mailing address contact number: 937-232-7468).

Location: 3345 Seajay Dr, Beavercreek, OH, 45430-1365
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134642267
Provider Name
Kelly Glen Sullivan
Credential
Provider Entity Type
Individual
Gender
Male
Address
3345 Seajay Dr, Beavercreek, OH, 45430-1365
Phone Number
937-232-7468
Fax Number
Provider Enumeration Date
07/20/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3345 Seajay Dr
City
Beavercreek
State
Ohio
Zip
45430-1365
Phone Number
937-232-7468
Fax Number
person
Provider Business Mailing Address Details
Address
3345 Seajay Dr
City
Beavercreek
State
Ohio
Zip
45430-1365
Phone Number
937-232-7468
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
(Ohio)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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