Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KENNETH W SULLIVAN, M.D.
Active Sole ProprietorMR. 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 PIKEJOELTON, TN, 370808892Browse 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.