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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. KENNETH W SULLIVAN, M.D.

Active Sole Proprietor

MR. KENNETH W SULLIVAN, M.D. is a Family Medicine healthcare provider located in JOELTON, Tennessee. NPI 1376637215 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · JOELTON, TN

Registration Details

NPI Number
1376637215
Provider Type
Individual
Gender
Male
NPI Issued
Oct 3, 2006 (19.858120327785 yrs)
Last Updated
Jun 9, 2015
License
27509 (TN)
Sole Proprietor
Yes

Practice Information

Address
3511 OLD CLARKSVILLE PIKE
JOELTON, TN, 370808892
Browse TN providers · Browse ZIP 37080
Phone
6152995341
Fax
6152995386
Primary Specialty
Family Medicine
207Q00000X
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.