Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH SULLIVAN, MD
ActiveKENNETH 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 DRBERLIN, WI, 549231243Browse 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.