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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KELLY ANN O'SULLIVAN, M.D.

Active

KELLY ANN O'SULLIVAN, M.D. is a Geriatric Medicine healthcare provider located in VANCOUVER, Washington. NPI 1750332474 is currently active in the NPPES registry. Verify at CMS.

Geriatric Medicine · VANCOUVER, WA

Registration Details

NPI Number
1750332474
Provider Type
Individual
Gender
Female
NPI Issued
May 15, 2006 (20.275512289048 yrs)
Last Updated
Mar 17, 2018
Licenses
MD60593078 (WA)
4301081068 (MI)

Practice Information

Address
750 SE FAIRWINDS LOOP
VANCOUVER, WA, 986618087
Browse WA providers · Browse ZIP 98661
Phone
2318382765
Primary Specialty
Geriatric Medicine
207QG0300X
Additional Specialty
Geriatric Medicine

Other Geriatric Medicine Providers in VANCOUVER, WA

Name Credential NPI
STEPHANIE SOUTHWELL RN 1407537426
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.