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KELLI M SULLIVAN IX
NPI 1609911148
Specialist in Glendale, AZ

Active since February 21, 2007
5430 W GLENN DR, GLENDALE, AZ 85301(623) 915-0345(623) 937-5425 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kelli M Sullivan Ix NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLI M SULLIVAN IX (NPI 1609911148) is an individual specialist in Glendale, Arizona, licensed in Arizona (2580) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1609911148
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameKELLI M SULLIVAN IX
Location Address5430 W GLENN DRGlendale, AZ 85301-2628
Mailing Address5430 W Glenn DrGlendale, AZ 85301-2628 · (623) 915-0345 · Fax (623) 937-5425
Phone(623) 915-0345
Fax(623) 937-5425
Sole ProprietorNo
Enumeration DateFebruary 21, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1609911148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in AZ · 2580
Definition
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.
5430 W GLENN DR, Glendale, AZ 85301
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Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THE CHILDRENS CENTER FOR NEURODEVELOPMENTAL STUDIES
Early Intervention Provider Agency
5430 W GLENN DR
GLENDALE, AZ 85301
Maricopa County (623) 915-0345
MRS. MIKA VISENTIN SLPA
Specialist/Technologist (Speech-Language Assistant)
5430 W GLENN DR
GLENDALE, AZ 85301
Maricopa County (623) 915-0345
JAMIE GALVAN OTA/L
Occupational Therapy Assistant
5430 W GLENN DR
GLENDALE, AZ 85301
Maricopa County (623) 915-0345
DAWN A HOFFMAN
Specialist
5430 W GLENN DR
GLENDALE, AZ 85301
Maricopa County (623) 915-0345
SARA SNYDER
Specialist/Technologist (Speech-Language Assistant)
5430 W GLENN DR
GLENDALE, AZ 85301
Maricopa County (602) 505-6331
SHANNON R WIANT
Specialist
5430 W GLENN DR
GLENDALE, AZ 85301
Maricopa County (623) 238-9763
CAROLINE GRACE RIDEOUT
Specialist/Technologist (Speech-Language Assistant)
5430 W GLENN DR
GLENDALE, AZ 85301
Maricopa County (623) 915-0345
ELAINA M WENDT
Specialist
5430 W GLENN DR
GLENDALE, AZ 85301
Maricopa County (623) 915-0345

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelli Sullivan's NPI number?

The NPI number for Kelli Sullivan is 1609911148. It was assigned to this individual provider in the NPPES registry on February 21, 2007.

Where is Kelli Sullivan located?

Kelli Sullivan practices at 5430 W Glenn Dr, Glendale, AZ 85301. The listed phone number is (623) 915-0345.

What is Kelli Sullivan's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Kelli Sullivan was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.