Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL W. SULLIVAN, M.D.
ActiveMICHAEL W. SULLIVAN, M.D. is a General Practice healthcare provider located in FORT KNOX, Kentucky. NPI 1275576944 is currently active in the NPPES registry. Verify at CMS.
General Practice · FORT KNOX, KY
Registration Details
- NPI Number
- 1275576944
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 13, 2006 (20.180461919335 yrs)
- Last Updated
- Jun 24, 2014
- Licenses
-
20770 (NE)37645020 (WI)30828 (KY)
Practice Information
- Address
-
1600 SPEARHEAD DIVISION AVE DEPT 140FORT KNOX, KY, 401225104Browse KY providers · Browse ZIP 40122
- Phone
- 5026134605
- Fax
- 5026134549
- Primary Specialty
-
General Practice
208D00000X
- Additional Specialty
- Obstetrics & Gynecology
- Additional Specialty
- General Practice
Other General Practice Providers in FORT KNOX, KY
| Name | Credential | NPI |
|---|---|---|
| DR. VANESSA JANE SHANK | M.D. | 1053394940 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.