Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY GLEN SULLIVAN
Active Sole ProprietorKELLY GLEN SULLIVAN is a Durable Medical Equipment & Medical Supplies healthcare provider located in BEAVERCREEK, Ohio. NPI 1134642267 is currently active in the NPPES registry. Verify at CMS.
Durable Medical Equipment & Medical Supplies · BEAVERCREEK, OH
Registration Details
- NPI Number
- 1134642267
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 20, 2017 (9.1153210183145 yrs)
- Last Updated
- Jul 21, 2022
- Sole Proprietor
- Yes
Practice Information
- Address
-
3345 SEAJAY DRBEAVERCREEK, OH, 454301365Browse OH providers · Browse ZIP 45430
- Phone
- 9372327468
- Primary Specialty
-
Durable Medical Equipment & Medical Supplies
332B00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.