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Kelly Ann O'sullivan, MD
Geriatric Medicine (Family Medicine) Physician in Vancouver, Washington
NPI 1750332474

Kelly Ann O'sullivan is a Geriatric Medicine (Family Medicine) Physician based in Vancouver, WA and is specialized in Geriatric Medicine. Kelly Ann O'sullivan practices in Vancouver, WA and has the professional credentials of MD. The NPI Number for Kelly Ann O'sullivan is 1750332474 and holds a License No. MD60593078 (Washington).

The current practice location address for Kelly Ann O'sullivan is 750 Se Fairwinds Loop, Vancouver, WA and can be reached out via phone at 231-838-2765. You can also correspond with Kelly Ann O'sullivan through the mailing address at 750 SE FAIRWINDS LOOP, VANCOUVER, WA - 98661-8087 (mailing address contact number: 231-838-2765).

Location: 750 Se Fairwinds Loop, Vancouver, WA, 98661-8087
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750332474
Provider Name
Kelly Ann O'sullivan
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
750 Se Fairwinds Loop, Vancouver, WA, 98661-8087
Phone Number
231-838-2765
Fax Number
Provider Enumeration Date
05/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
N19510003 01 MI MEDICARE INDIV PTAN
5185089 05 MI
ON19510 01 MI MEDICARE GROUP PTAN
institution
Provider Business Practice Location Address Details
Address
750 Se Fairwinds Loop
City
Vancouver
State
Washington
Zip
98661-8087
Phone Number
231-838-2765
Fax Number
person
Provider Business Mailing Address Details
Address
750 Se Fairwinds Loop
City
Vancouver
State
Washington
Zip
98661-8087
Phone Number
231-838-2765
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
4301081068 (Michigan)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Geriatric Medicine
Taxonomy
207QG0300X
License No.
MD60593078 (Washington)
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
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