NPI 1003479270

Kellen A. Sullivan, MD

Practitioner Internal Medicine Physician Salt Lake City, UT

Practice location

Address: 30 N 1900 E Rm 4c116, Salt Lake City, UT 84132-0002
Phone: (801) 581-7606

Registered specialties

Internal Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence 11898972-1205 (UT)

Other Internal Medicine providers in Utah →

Registry record

NPI: 1003479270
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Apr 2019
Record last updated: 24 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.