Kenneth Sullivan, MD

NPI #1902899917 in Berlin, Wisconsin

Provider Information

NPI Number: 1902899917
Entity Type: Individual
Name: Kenneth Sullivan, MD
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Aug 24, 2005
Last Updated: Sep 11, 2025

Practice Location

Address: 225 MEMORIAL DR
City: Berlin
State: Wisconsin
ZIP Code: 54923-1243
Phone: (920) 361-5525

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X
Family Medicine	207Q00000X	Primary
Surgery	208600000X

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