Provider Demographics
NPI:1699179721
Name:SULIK, KELLY ALLISON I (DVM)
Entity Type:Individual
Prefix:DR
First Name:KELLY
Middle Name:ALLISON
Last Name:SULIK
Suffix:I
Gender:F
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 E BLACKSTOCK RD
Mailing Address - Street 2:
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29301-2618
Mailing Address - Country:US
Mailing Address - Phone:864-587-1633
Mailing Address - Fax:
Practice Address - Street 1:150 E BLACKSTOCK RD
Practice Address - Street 2:
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29301-2618
Practice Address - Country:US
Practice Address - Phone:864-587-1633
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-17
Last Update Date:2014-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3317174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian