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Kelli M Sullivan IX
Specialist in Glendale, Arizona
NPI 1609911148

Kelli M Sullivan IX is a Specialist based in Glendale, AZ. Kelli M Sullivan IX practices in Glendale, AZ. The NPI Number for Kelli M Sullivan IX is 1609911148 and holds a License No. 2580 (Arizona).

The current practice location address for Kelli M Sullivan IX is 5430 W Glenn Dr, Glendale, AZ and can be reached out via phone at 623-915-0345 and via fax at 623-937-5425. You can also correspond with Kelli M Sullivan IX through the mailing address at 5430 W GLENN DR, GLENDALE, AZ - 85301-2628 (mailing address contact number: 623-915-0345).

Location: 5430 W Glenn Dr, Glendale, AZ, 85301-2628
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609911148
Provider Name
Kelli M Sullivan IX
Credential
Provider Entity Type
Individual
Gender
Female
Address
5430 W Glenn Dr, Glendale, AZ, 85301-2628
Phone Number
623-915-0345
Fax Number
623-937-5425
Provider Enumeration Date
02/21/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
5430 W Glenn Dr
City
Glendale
State
Arizona
Zip
85301-2628
Phone Number
623-915-0345
Fax Number
623-937-5425
person
Provider Business Mailing Address Details
Address
5430 W Glenn Dr
City
Glendale
State
Arizona
Zip
85301-2628
Phone Number
623-915-0345
Fax Number
623-937-5425
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
2580 (Arizona)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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