Kelly Glen Sullivan
Kelly Glen Sullivan is a Durable Medical Equipment & Medical Supplies in Beavercreek, Ohio. Practices as a sole proprietor. Licensed in Ohio.
- Licensed in
- OH
- In the registry since
- 2017
Practice location Address checks out
3345 Seajay DrBeavercreek, OH 45430-1365
Phone: (937) 232-7468
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Durable Medical Equipment & Medical Supplies (primary) | Taxonomy 332B00000X (OH) |
|---|
Record details
| NPI number | 1134642267 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | July 20, 2017 |
| Last updated in NPPES | July 21, 2022 |
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