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Kenneth Sullivan, M.D
NPI 1376637215 · on the registry since 2006 · sole proprietor
Practice
- Address
- 3511 Old Clarksville Pike
Joelton, TN 37080 - Phone
- (615) 299-5341
- Fax
- (615) 299-5386
- Organisation at this address
- Sullivan Family Practice, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Family Medicine Physician
207Q00000X
- Licence states on file
- TN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-06-09
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 Tennessee