Kellen A. Sullivan, MD

NPI #1003479270 in Salt Lake City, Utah

Provider Information

NPI Number
1003479270
Entity Type
Individual
Name
Kellen A. Sullivan, MD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Internal Medicine
Credential
MD
Enumeration Date
Apr 15, 2019
Last Updated
Aug 24, 2020

Practice Location

Address
30 N 1900 E RM 4C116
State
Utah
ZIP Code
84132-0002
Phone
(801) 581-7606

Specialties & Taxonomy Codes

Specialty
Internal Medicine

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