Kellen A. Sullivan
Internist
30 N 1900 E Rm 4c116
Salt Lake City
, Utah 84132-0002
(801) 581-7606
Write a Review Share Save Call
About
Features
Language(s) Spoken
English
Ethnic Identity
White / Caucasian
Specialties
- Internist
Languages spoken
- English
Location
First Address
- Kellen A. Sullivan
- 30 N 1900 E Rm 4c116
- Salt Lake City, UT
- Zip : 84132-0002
- Phone : (801) 581-7606
Second Address
- Kellen A. Sullivan
- 30 N 1900 E Rm 4c116
- Salt Lake City, UT
- Zip : 84132-0002
- Phone : (801) 581-7606
Reviews
FAQs
Where did Kellen A. Sullivan attend graduate school?
Provider has not completed her profile. If you are Kellen A. Sullivan, click here to claim your profile
Where did Kellen A. Sullivan do her residency?
Provider has not completed her profile. If you are Kellen A. Sullivan, click here to claim your profile
Where did Kellen A. Sullivan do her fellowship?
Provider has not completed her profile. If you are Kellen A. Sullivan, click here to claim your profile
Is Kellen A. Sullivan board certified?
Provider has not completed her profile. If you are Kellen A. Sullivan, click here to claim your profile
What type of doctor is Kellen A. Sullivan
Internist
In what state does Kellen A. Sullivan practice in?
Utah
Where is Kellen A. Sullivan ’s practice located?
30 N 1900 E Rm 4c116 , Salt Lake City, Utah, 84132-0002
What is Kellen A. Sullivan ’s gender?
Female
Is Kellen A. Sullivan a sole practitioner?
No
Is Kellen A. Sullivan accepting new patients?
Provider has not completed her profile. If you are Kellen A. Sullivan, click here to claim your profile
What languages does Kellen A. Sullivan speak?
Provider has not completed her profile. If you are Kellen A. Sullivan, click here to claim your profile
Does Kellen A. Sullivan accept insurance?
Yes, Kellen A. Sullivan accepts insurance
Does Kellen A. Sullivan offers telemedicine?
Kellen A. Sullivan has not indicated if she offers telemedicine
What is Kellen A. Sullivan ’s professional license number?
Provider has not completed her profile. If you are Kellen A. Sullivan, click here to claim your profile
What is Kellen A. Sullivan ’s NPI number?
1003479270
Does Kellen A. Sullivan have any license restrictions?
Provider has not completed her profile. If you are Kellen A. Sullivan, click here to claim your profile
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207R00000X | Internist | 11898972-1205 | UT |
| Y | 111NI0900X | Internist | 11898972-1205 | UT |
National Provider Identifier
| NPI | 1003479270 |
|---|---|
| Provider Name | Kellen A. Sullivan |
| First Address | Salt Lake City, UT 84132-0002 |
| Second Address | Salt Lake City, UT 84132-0002 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/04/2019 |
| Last Update Date | 24/08/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Entity Type Code
The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers.
Subpart examples include: Hospital components include outpatient departments, surgical centers,
psychiatric units, and laboratories. These components are often separately licensed or certified by
States and may exist at physical locations other than that of the hospital of which they are a
component.
Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if
an individual) or other name by which the organization provider is or has been known. The code
identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.
Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date
The date that a NPI record was last updated or changed
Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.
Authorized Official Name
The name of the person authorized to submit the PI application or to officially change data for a health care provider.