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Michael W. Sullivan, MD
General Practice Physician in Fort Knox, Kentucky
NPI 1275576944

Michael W. Sullivan is a General Practice Physician based in Fort Knox, KY. Michael W. Sullivan practices in Fort Knox, KY and has the professional credentials of MD. The NPI Number for Michael W. Sullivan is 1275576944 and holds a License No. 20770 (Kentucky).

The current practice location address for Michael W. Sullivan is 1600 Spearhead Division Ave Dept 140, Fort Knox, KY and can be reached out via phone at 502-613-4605 and via fax at 502-613-4549.

Location: 1600 Spearhead Division Ave Dept 140, Fort Knox, KY, 40122-5104
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275576944
Provider Name
Michael W. Sullivan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1600 Spearhead Division Ave Dept 140, Fort Knox, KY, 40122-5104
Phone Number
502-613-4605
Fax Number
502-613-4549
Provider Enumeration Date
06/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
47600743623 05 NE
47600743612 05 NE
47600743621 05 NE
47600743622 05 NE
institution
Provider Business Practice Location Address Details
Address
1600 Spearhead Division Ave Dept 140
City
Fort Knox
State
Kentucky
Zip
40122-5104
Phone Number
502-613-4605
Fax Number
502-613-4549
person
Provider Business Mailing Address Details
Address
1600 Spearhead Division Ave Dept 140
City
Fort Knox
State
Kentucky
Zip
40122-5104
Phone Number
502-613-4605
Fax Number
502-613-4549
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
30828 (Kentucky)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
37645020 (Wisconsin)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
20770 (Nebraska)
Definition
Definition to come...
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