Kelli M Sullivan IX

NPI #1609911148 in Glendale, Arizona

Provider Information

NPI Number
1609911148
Entity Type
Individual
Name
Kelli M Sullivan IX
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist
Enumeration Date
Feb 21, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
5430 W GLENN DR
State
Arizona
ZIP Code
85301-2628
Phone
(623) 915-0345

Specialties & Taxonomy Codes

Specialty
Specialist

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