NPI 1275576944

Michael W. Sullivan, MD

Practitioner General Practice Physician Fort Knox, KY

Practice location

Address: 1600 Spearhead Division Ave Dept 140, Fort Knox, KY 40122-5104
Phone: (502) 613-4605
Fax: (502) 613-4549

Registered specialties (3)

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 30828 (KY)

Other General Practice providers in Kentucky →

Family Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 20770 (NE)

Other Family Medicine providers in Kentucky →

Obstetrics & Gynecology Physician

Allopathic & Osteopathic Physicians Taxonomy 207V00000X Licence 37645020 (WI)

Other Obstetrics & Gynecology providers in Kentucky →

Registry record

NPI: 1275576944
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Jun 2006
Record last updated: 24 Jun 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.