Kelly E Sullivan, AGNP-C
Nurse Practitioner, Primary Care in Vernon, Connecticut
1427549088- Practice location
- 428 Hartford Tpke Ste 207, Vernon, CT 06066-4841
- Phone
- 860-872-5426
- Fax
- —
- Last updated
- May 19, 2018
Kelly Elizabeth Sullivan is a Nurse Practitioner, Primary Care based in Vernon, CT. Kelly Elizabeth Sullivan practices in Vernon, CT and has the professional credentials of AGNP-C. The NPI Number for Kelly Elizabeth Sullivan is 1427549088 and holds a License No. 390200000X (CT). The current practice location address for Kelly Elizabeth Sullivan is 428 Hartford Tpke Ste 207, Vernon, CT 06066-4841 and can be reached out via phone at 860-872-5426.
Provider Profile Details
- NPI Number
- 1427549088
- Provider Name
- Kelly Elizabeth Sullivan
- Credential
- AGNP-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 428 Hartford Tpke Ste 207, Vernon, CT 06066-4841
- Phone Number
- 860-872-5426
- Primary Taxonomy
- Nurse Practitioner, Primary Care · 363LP2300X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- May 19, 2018
- Last Update Date
- May 19, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 428 Hartford Tpke Ste 207
Vernon, CT 06066-4841 - City
- Vernon
- State
- Connecticut
- Zip
- 06066-4841
- Phone Number
- 860-872-5426
Provider Business Mailing Address Details
- Address
- 428 Hartford Tpke Ste 207
Vernon, CT 06066-4841 - City
- Vernon
- State
- CT
- Zip
- 06066-4841
License Information
- License Number
- 390200000X
- License State
- CT
- Taxonomy
- Nurse Practitioner, Primary Care · 363LP2300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Kelly E Sullivan, AGNP-C?
The NPI number of Kelly E Sullivan, AGNP-C is 1427549088. It was assigned on May 19, 2018 and is currently active in the NPPES registry.
What is the specialty of Kelly E Sullivan, AGNP-C?
Kelly E Sullivan, AGNP-C is registered under the primary taxonomy Nurse Practitioner, Primary Care (code 363LP2300X), licensed in CT under license number 390200000X.
Where does Kelly E Sullivan, AGNP-C practice?
The practice location is 428 Hartford Tpke Ste 207, Vernon, CT 06066-4841. The office can be reached at 860-872-5426 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1427549088 directly on the NPPES registry website.