Individual provider · Type 1 NPI

Kelli M. Sullivan Ix

Specialist · Glendale, AZ

NPI number 1609911148 Active

Practice location

5430 W Glenn Dr
Glendale, AZ 85301-2628

Call (623) 915-0345 Map

Fax (623) 937-5425

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X2580 (AZ)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1609911148

Kelli M. Sullivan Ix's National Provider Identifier is 1609911148, issued on Feb 21, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Glendale, AZ. The record was last updated on Jul 8, 2007.