MS. Kathleen Connelly Sullivan, MS, PA-C

NPI #1639320336 in Weymouth, Massachusetts

Provider Information

NPI Number: 1639320336
Entity Type: Individual
Name: MS. Kathleen Connelly Sullivan, MS, PA-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: MS, PA-C
Enumeration Date: Oct 1, 2008
Last Updated: Feb 23, 2015

Practice Location

Address: 2 FOGG RD
City: Weymouth
State: Massachusetts
ZIP Code: 02190
Phone: (781) 624-8000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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