Individual provider · Type 1 NPI

Kelly Ingrid Sullivan, MD

Pediatrics Physician · College Station, TX

NPI number 1043492291 Active

Practice location

1602 Rock Prairie Rd, Suite 340
College Station, TX 77845-8306

Call (979) 696-4440 Map

Fax (979) 696-7812

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Pediatrics Physician Primary 208000000XN1166 (TX)

Pediatrics Physician: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on de…

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About NPI 1043492291

Kelly Ingrid Sullivan, MD's National Provider Identifier is 1043492291, issued on Nov 29, 2007. The primary taxonomy on file is Pediatrics Physician (208000000X), and the practice location is in College Station, TX. The record was last updated on May 21, 2010.