MR. Kenneth W Sullivan, M.D.

NPI #1376637215 in Joelton, Tennessee

Provider Information

NPI Number
1376637215
Entity Type
Individual
Name
MR. Kenneth W Sullivan, M.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Family Medicine
Credential
M.D.
Enumeration Date
Oct 3, 2006
Last Updated
Jun 9, 2015

Practice Location

Address
3511 OLD CLARKSVILLE PIKE
ZIP Code
37080-8892
Phone
(615) 299-5341

Specialties & Taxonomy Codes

Specialty
Family Medicine

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Organizations

Provider Name
Sullivan Family Practice, Inc.NewBizBotAI Deep Dive

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