Individual provider · Type 1 NPI

Kelsey Grace Sullivan, PA-C

Medical Physician Assistant · Missoula, MT

NPI number 1518153543 Active

Practice location

601 W Spruce St Ste K
Missoula, MT 59802-4047

Call (406) 327-1950 Map

Mailing address

PO Box 31001
Pasadena, CA 91110-4110

Other practice locations

  • 1709 Dock St, Tacoma, WA 98402-3204 · (253) 682-1710
  • 915 Highland Blvd, Bozeman, MT 59715-6902 · (406) 414-5000

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XNone listed
Medical Physician Assistant Primary 363AM0700XMED-PAC-LIC-34912 (MT)

Medical Physician Assistant: Definition to come...

7 other providers at this address

Other medical physician assistant providers in Missoula

See all in Missoula →

About NPI 1518153543

Kelsey Grace Sullivan, PA-C's National Provider Identifier is 1518153543, issued on Sep 24, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Missoula, MT. The record was last updated on Dec 9, 2025.