Dr. Kelly Ingrid Sullivan
MD | Pediatrics | Female
Dr. Kelly Ingrid Sullivan, MD is a College Station, Texas based Pediatric doctor with medical specialization in
General Pediatrics. Dr. Kelly Ingrid Sullivan is also known as
Kelly Ingrid Machen.
Current practice location of Dr. Kelly Ingrid Sullivan is
1602 Rock Prairie Rd, Suite 340, College Station, Texas - 77845-8306. She can be contacted on phone at
979-696-4440 and fax number 979-696-7812.
Dr. Kelly Ingrid Sullivan is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Kelly Ingrid Sullivan is
1043492291 which was assigned by NPPES on 29 Nov, 2007 and it was last updated on 21 May, 2010.
Dr. Kelly Ingrid Sullivan license number is
N1166 for Pediatrics (208000000X) in Texas.
Dr. Kelly Ingrid Sullivan is a pediatrician who 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 development.
Complete Profile:
Dr. Kelly Ingrid Sullivan basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Kelly Ingrid Sullivan |
|---|
| Other Name : | Kelly Ingrid Machen |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Dr. Kelly Ingrid Sullivan address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1602 Rock Prairie Rd, Suite 340
College Station, TX, 77845-8306
United States |
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| Phone Number : | 979-696-4440 |
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| Fax Number : | 979-696-7812 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1043492291 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 29 Nov, 2007 |
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| Last Updated On : | 21 May, 2010 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Kelly Ingrid Sullivan are as mentioned. Primary taxonomy code for Dr. Kelly Ingrid Sullivan, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | No | | |
| 208000000X | Pediatrics | Yes | N1166 | TX |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1602 Rock Prairie Rd, Suite 340
College Station, TX, 77845-8306
United States |
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| Phone Number : | 979-696-4440 |
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| Fax Number : | 979-696-7812 |
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Business Location:
Patients can refer following map for directions to
Dr. Kelly Ingrid Sullivan practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.