Individual provider · Type 1 NPI

Kelly O'Sullivan

Student in an Organized Health Care Education/Training Program · Hawthorne, NY

NPI number 1881007201 Active

Practice location

228 Linda Ave
Hawthorne, NY 10532-2050

Call (914) 773-7400 Map

Mailing address

55 Irving Pl
New Rochelle, NY 10801-1511

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1881007201

Kelly O'Sullivan's National Provider Identifier is 1881007201, issued on Jun 3, 2014. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Hawthorne, NY. The record was last updated on Jun 3, 2014.