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

KENNETH SULLIVAN, MD

Active

KENNETH SULLIVAN, MD is a Family Medicine healthcare provider located in BERLIN, Wisconsin. NPI 1902899917 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · BERLIN, WI

Registration Details

NPI Number
1902899917
Provider Type
Individual
Gender
Male
NPI Issued
Aug 24, 2005 (20.789604432415 yrs)
Last Updated
Sep 11, 2025
Licenses
40493-020 (WI)
40493-020 (WI)
40493-020 (WI)

Practice Information

Address
225 MEMORIAL DR
BERLIN, WI, 549231243
Browse WI providers · Browse ZIP 54923
Phone
9203615525
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine
Additional Specialty
General Surgery

Other Family Medicine Providers in BERLIN, WI

Name Credential NPI
TODD M. BRADSHAW MD 1518968460
CRAIG BATLEY DO 1679574453
DAVID BUDDE DO 1245231034
DR. KERRY MARK SIMON MD 1205823762
KIRSTEN ELIZABETH GROVE DO 1396162285
ABIGAIL K PUGLISI DO 1366852550
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.