National Provider Identifier
Amanda Kelly Sullivan, PA-C
Amanda Kelly Sullivan, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Boston, MA and a listed phone number of (617) 724-5110.
Source: public NPPES record, last updated April 30, 2026. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1942087911
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- September 12, 2023
- Last Updated
- April 30, 2026
Practice Location
- 55 Fruit St
- Boston, MA 02114-2621
Phone: (617) 724-5110
Mailing Address
- 55 Fruit St
- Boston, MA 02114-2696
Specialties
- Physician Assistant (363A00000X)
- Medical Physician Assistant (363AM0700X)
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Biography
Amanda Kelly Sullivan, PA-C, is a physician assistant practicing in Boston, with public Medicare-directory records also listing an affiliation with Hartford Hospital and its medical group. The same records note that she completed her professional training in 2023.
Full Record
- NPI
- 1942087911
- Entity Type
- Individual
- Last Name
- Sullivan
- First Name
- Amanda
- Middle Name
- Kelly
- Credential
- PA-C
- Mailing Street Address
- 55 Fruit St
- Mailing City
- Boston
- Mailing State
- MA
- Mailing ZIP Code
- 02114-2696
- Mailing Country
- US
- Mailing Phone
- (617) 724-5110
- Practice Street Address
- 55 Fruit St
- Practice City
- Boston
- Practice State
- MA
- Practice ZIP Code
- 02114-2621
- Practice Country
- US
- Practice Phone
- (617) 724-5110
- Enumeration Date
- September 12, 2023
- Last Updated
- April 30, 2026
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- April 30, 2026
- Taxonomies
- Physician Assistant (363A00000X), Medical Physician Assistant (363AM0700X)