KELLY SULLIVAN

BRIDGEPORT, CT
NPI1154590651
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CT  002446)
Enumeration Date2008-02-28
Last Update Date2008-02-28
Business Address
-- KELLY SULLIVAN
275 GEORGE ST
BRIDGEPORT, CT 06604-3320
Phone number: 203-576-8462
Mailing Address
-- KELLY SULLIVAN
6 FOX RUN
WILTON, CT 06897-1110
Phone number: 203-576-8461
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