Active NPIIndividual provider

Kelsi Sullivan, PA-C

Physician Assistant in Boynton Beach, Florida

NPI Number1669450144
Practice location
244 N Congress Ave # 2A, Boynton Beach, FL 33426-4212
Fax
203-774-4636
Last updated
December 2, 2023

Kelsi Sullivan is a Physician Assistant based in Boynton Beach, FL. Kelsi Sullivan practices in Boynton Beach, FL and has the professional credentials of PA-C. The NPI Number for Kelsi Sullivan is 1669450144 and holds a License No. 1536 (MA). The current practice location address for Kelsi Sullivan is 244 N Congress Ave # 2A, Boynton Beach, FL 33426-4212 and can be reached out via phone at 888-760-4266 and via fax at 203-774-4636.

Provider Profile Details

NPI Number
1669450144
Provider Name
Kelsi Sullivan
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
244 N Congress Ave # 2A, Boynton Beach, FL 33426-4212
Phone Number
888-760-4266
Fax Number
203-774-4636
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
January 5, 2006
Last Update Date
December 2, 2023
Certification Date
December 2, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
244 N Congress Ave # 2A
Boynton Beach, FL 33426-4212
State
Florida
Zip
33426-4212
Phone Number
888-760-4266
Fax Number
203-774-4636
Boynton Beach, FL 33426Get directions →

Provider Business Mailing Address Details

Address
24 Morgan CT
Rye, NH 03870-2033
City
Rye
State
NH
Zip
03870-2033
Phone Number
781-254-8837

License Information

License Number (1)
1536
License State (1)
MA
Taxonomy (1)
Physician Assistant · 363A00000X
License Number (2)
PA16652
License State (2)
TX
Taxonomy (2)
Physician Assistant · 363A00000X
License Number (3)
1536
License State (3)
MA
Taxonomy (3)
Physician Assistant, Surgical · 363AS0400X
License Number (4)
PA9116863
License State (4)
FL
Taxonomy (4)
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Kelsi Sullivan, PA-C?

The NPI number of Kelsi Sullivan, PA-C is 1669450144. It was assigned on January 5, 2006 and is currently active in the NPPES registry.

What is the specialty of Kelsi Sullivan, PA-C?

Kelsi Sullivan, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in MA under license number 1536.

Where does Kelsi Sullivan, PA-C practice?

The practice location is 244 N Congress Ave # 2A, Boynton Beach, FL 33426-4212. The office can be reached at 888-760-4266 (phone) or 203-774-4636 (fax).

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 1669450144 directly on the NPPES registry website.

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