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Kelly O'Sullivan, M.D. — NPI 1750332474, Vancouver, WA | NPI Central

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NPI 1750332474

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Kelly O'Sullivan, M.D.

NPI 1750332474 · Geriatric Medicine (Family Medicine) Physician · Vancouver, WA

Provider details

NPI number: 1750332474
Entity type: Individual
Primary specialty: Geriatric Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
Credential: M.D.
Sex: Female
Sole proprietor: No
License: MD60593078 (WA)

Specialties & taxonomies

Geriatric Medicine (Family Medicine) PhysicianPrimary207QG0300XLicense 4301081068 (MI)
Allopathic & Osteopathic Physicians
Family Medicine Physician207Q00000XLicense MD60593078 (WA)
Allopathic & Osteopathic Physicians

Practice location

750 Se Fairwinds Loop

Vancouver, WA 98661-8087

Phone: (231) 838-2765

Approximate (ZIP-level) locationGet directions

More WA providers

Mailing address

750 Se Fairwinds Loop

Vancouver, WA 98661-8087

Additional practice locations (1)

3400 Main St
Vancouver, WA 98663-2223
Phone: (360) 696-5232

Registry dates

Enumerated: 2006-05-15
Last updated: 2018-03-17

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.