Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kenneth Sullivan, MD

Individual provider Emergency Medicine Physician · NPI 1902899917

Kenneth Sullivan, MD is an Emergency Medicine Physician in Berlin, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2005.

Licensed in
WI
In the registry since
2005
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

225 Memorial Dr
Berlin, WI 54923-1243
Phone: (920) 361-5525
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 40493-020 (WI)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 40493-020 (WI)
Surgery Physician Taxonomy 208600000X · Licence 40493-020 (WI)

Record details

NPI number1902899917
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 24, 2005
Last updated in NPPESJuly 13, 2026
Mailing address225 Memorial Dr, Berlin, WI 54923-1243

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