person
Kelly Sullivan
Family Nurse Practitioner in Bridgeport, Connecticut
NPI 1154590651

Kelly Sullivan is a Family Nurse Practitioner based in Wilton, CT and is specialized in Family. Kelly Sullivan practices in Bridgeport, CT. The NPI Number for Kelly Sullivan is 1154590651 and holds a License No. 002446 (Connecticut).

The current practice location address for Kelly Sullivan is 275 George St, Bridgeport, CT and can be reached out via phone at 203-576-8462. You can also correspond with Kelly Sullivan through the mailing address at 6 FOX RUN, WILTON, CT - 06897-1110 (mailing address contact number: 203-576-8461).

Location: 275 George St, Bridgeport, CT, 06897-1110
person
Provider Profile Details
NPI Number
1154590651
Provider Name
Kelly Sullivan
Credential
Provider Entity Type
Individual
Gender
Female
Address
275 George St, Bridgeport, CT, 06897-1110
Phone Number
203-576-8462
Fax Number
Provider Enumeration Date
02/28/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
002446 01 CT LICENSE
institution
Provider Business Practice Location Address Details
Address
275 George St
City
State
Zip
06604-3320
Phone Number
203-576-8462
Fax Number
person
Provider Business Mailing Address Details
Address
275 George St
City
State
Zip
06604-3320
Phone Number
203-576-8462
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
002446 (Connecticut)
Definition
Definition to come...
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