Search › Kentucky › 208D00000X
Michael Sullivan, M.D
NPI 1275576944 · on the registry since 2006
Practice
- Address
- 1600 Spearhead Division Ave Dept 140
Fort Knox, KY 40122 - Phone
- (502) 613-4605
- Fax
- (502) 613-4549
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 208D00000X
208D00000X
- Also registered as
- 207Q00000X
207V00000X - Licence states on file
- NE, WI, KY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-06-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky