National Provider Identifier
Kelly O'Sullivan, PA-C
Kelly O'Sullivan, PA-C is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Lancaster, NY and a listed phone number of (716) 391-0937.
Profile Overview
- NPI
- 1467488072
- Provider Type
- Individual
- Primary Specialty
- Medical Physician Assistant
- Enumeration Date
- June 24, 2006
- Last Updated
- January 13, 2017
Practice Location
- 3 Silent Meadow Ln
- Dept Of Medicine
- Lancaster, NY 14086-3430
Phone: (716) 391-0937
Mailing Address
- 4278 Coventry Green Cir
- Dept Of Medicine
- Williamsville, NY 14221-7237
Specialties
- Medical Physician Assistant (363AM0700X)
Full Record
- NPI
- 1467488072
- Entity Type
- Individual
- Last Name
- O'Sullivan
- First Name
- Kelly
- Name Prefix
- Mrs.
- Credential
- PA-C
- Mailing Street Address
- 4278 Coventry Green Cir
- Mailing Address Line 2
- Dept Of Medicine
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-7237
- Mailing Country
- US
- Mailing Phone
- (585) 802-1510
- Practice Street Address
- 3 Silent Meadow Ln
- Practice Address Line 2
- Dept Of Medicine
- Practice City
- Lancaster
- Practice State
- NY
- Practice ZIP Code
- 14086-3430
- Practice Country
- US
- Practice Phone
- (716) 391-0937
- Enumeration Date
- June 24, 2006
- Last Updated
- January 13, 2017
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Medical Physician Assistant (363AM0700X)
- Other Identifiers
- 02426548 (NY)