Michael W. Sullivan, M.D.

NPI #1275576944 in Fort Knox, Kentucky

Provider Information

NPI Number: 1275576944
Entity Type: Individual
Name: Michael W. Sullivan, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: General Practice
Credential: M.D.
Enumeration Date: Jun 13, 2006
Last Updated: Jun 24, 2014

Practice Location

Address: 1600 SPEARHEAD DIVISION AVE DEPT 140
City: Fort Knox
State: Kentucky
ZIP Code: 40122-5104
Phone: (502) 613-4605

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Obstetrics & Gynecology	207V00000X
General Practice	208D00000X	Primary

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