Doctor profile · Federal record
Dr. Kelly Sullivan, MD
Pediatrics Physician · Student in an Organized Health Care Education/Training Program · College Station, TX
- NPI 1043492291
- 19 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1602 Rock Prairie RD, Suite 340
College Station, TX 778458306
(979) 696-4440
fax (979) 696-7812
Credentials & registration
- NPI registered
- November 2007 — 19 yrs on file
- Profile last updated
- May 21, 2010
- Specialty taxonomy
- 208000000X — NUCC code
- State license (1)
- Texas #N1166
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1043492291. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$161
Transactions
9
Manufacturers
3
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Supernus Pharmaceuticals, INC. | 7 | $121.64 | |
| Ironshore Pharmaceuticals INC. | 1 | $20.20 | |
| Novo Nordisk INC | 1 | $19.36 |
By nature of payment
Frequently asked questions
What is Dr. Kelly Sullivan's medical specialty?
Dr. Kelly Sullivan practices Pediatrics Physician in College Station, TX.
Where does Dr. Kelly Sullivan practice?
Dr. Kelly Sullivan practices at 1602 Rock Prairie RD, College Station, TX 778458306. Office phone: 9796964440.
What is Dr. Kelly Sullivan's NPI?
Dr. Kelly Sullivan's National Provider Identifier (NPI) is 1043492291, issued by NPPES.