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DR. KELLY M SULLIVAN MD
NPI 1831105329
Surgery - Plastic and Reconstructive Surgery in Annapolis, MD

Active since August 01, 2006
888 BESTGATE ROAD, SUITE 208, ANNAPOLIS, MD 21401(410) 571-1280(410) 571-1288 Get Directions Write a Review

NPPES record last updated: September 14, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Kelly M Sullivan Md NPPES

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

DR. KELLY M SULLIVAN MD (NPI 1831105329) is an individual plastic and reconstructive surgery provider in Annapolis, Maryland, licensed in Maryland (D59894) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1831105329
Entity TypeIndividualFemale
Primary Taxonomy2086S0122X
Provider Legal NameDR. KELLY M SULLIVANCredential: MD
Location Address888 BESTGATE ROAD, SUITE 208Annapolis, MD 21401
Mailing Address888 Bestgate Road, Suite 208Annapolis, MD 21401 · (410) 571-1280 · Fax (410) 571-1288
Phone(410) 571-1280
Fax(410) 571-1288
Sole ProprietorNo
Enumeration DateAugust 1, 2006
Last NPPES UpdateSeptember 14, 2007
✔ NPI 1831105329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License✔ Licensed in MD · D59894
Definition
A surgeon who specializes in plastic and reconstructive surgery.
888 BESTGATE ROAD, Annapolis, MD 21401
Open in Google Maps ↗

Other Identifiers 1

Medicare PIN641M142FMD

Other Providers at the Same Location NPPES 7

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

DR. JAY THOMPSON RORICK MD
Optometrist (Pediatrics)
888 BESTGATE ROAD, SUITE 102
ANNAPOLIS, MD 21401
Anne Arundel County (410) 571-7325
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
Clinical Medical Laboratory
888 BESTGATE ROAD
ANNAPOLIS, MD 21401
Anne Arundel County (410) 571-7336
ISHITA RAHMAN D.M.D.
Dentist (General Practice)
888 BESTGATE ROAD, SUITE 101
ANNAPOLIS, MD 21401
Anne Arundel County (410) 263-3700
DR. GREGORY ALAN MITCHELL M.D., PA
Specialist
888 BESTGATE ROAD, SUITE 211
ANNAPOLIS, MD 21401
Anne Arundel County (410) 266-8601
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
Pharmacy (Managed Care Organization Pharmacy)
888 BESTGATE ROAD
ANNAPOLIS, MD 21401
Anne Arundel County (410) 571-7360
DR. ANTHONY BOAKYE MD
Internal Medicine
888 BESTGATE ROAD, SUITE 102
ANNAPOLIS, MD 21401
Anne Arundel County (410) 571-7322
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
Health Maintenance Organization
888 BESTGATE ROAD
ANNAPOLIS, MD 21401
Anne Arundel County (410) 571-7300

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 Kelly Sullivan's NPI number?

The NPI number for Kelly Sullivan is 1831105329. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Where is Kelly Sullivan located?

Kelly Sullivan practices at 888 Bestgate Road Suite 208, Annapolis, MD 21401. The listed phone number is (410) 571-1280.

What is Kelly Sullivan's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

When was this NPI record last updated?

The NPPES record for Kelly Sullivan was last updated on September 14, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.