MICHAEL SULLIVAN, M.D.

General Practice

Active Individual
NPI: 1275576944

Practice Address

1600 SPEARHEAD DIVISION AVE DEPT 140
Fort Knox, KY 40122

Phone: (502) 613-4605

Specialties

Specialty Code Primary License
Family Medicine 207Q00000X No 20770 (NE)
Obstetrics & Gynecology 207V00000X No 37645020 (WI)
General Practice 208D00000X Yes 30828 (KY)

Frequently Asked Questions

NPI 1275576944 is the National Provider Identifier for MICHAEL SULLIVAN, M.D., a General Practice provider located in Fort Knox, KY. This NPI was enumerated on June 13, 2006.
MICHAEL SULLIVAN, M.D. practices at 1600 SPEARHEAD DIVISION AVE DEPT 140, Fort Knox, KY 40122.

Quick Facts

NPI
1275576944
Type
Individual
Enumerated
Jun 13, 2006
Last Updated
Jun 24, 2014

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