Most Relevant Information
Provider Data
| NPI Number: | 1003347162 |
| Provider Name: | LIAM KELLY SULLIVAN MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207L00000X |
| Specialty: | Anesthesiology |
| License Number: | 24584 |
Most Important Dates
| Enumeration Date: | 03/21/2017 |
| Last Updated: | 01/03/2024 |
Provider Practice Location
7160 RAFAEL RIVERA WAY STE 210
LAS VEGAS
NV
891135395
Practice Location Phone/Fax
| Phone: | 7028780070 |
| Fax: | 7028050307 |
Provider Mailing Location
PO BOX 840857
DALLAS
TX
752840857
Provider Mailing Phone/Fax
| Phone: | 7252044632 |
| Fax: | 7028050307 |