Individual provider · Type 1 NPI
Michael W. Sullivan, MD
General Practice Physician · Fort Knox, KY
NPI number
1275576944
Active
Practice location
1600 Spearhead Division Ave Dept 140
Fort Knox, KY 40122-5104
Fax (502) 613-4549
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | 20770 (NE) |
| Obstetrics & Gynecology Physician | 207V00000X | 37645020 (WI) |
| General Practice Physician Primary | 208D00000X | 30828 (KY) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Other general practice physician providers in Fort Knox
About NPI 1275576944
Michael W. Sullivan, MD's National Provider Identifier is 1275576944, issued on Jun 13, 2006. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Fort Knox, KY. The record was last updated on Jun 24, 2014.