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

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1487014411

Kieran Sultan-Lundeen, MD is a Pathology in West Allis, Wisconsin. Qualified in 2011, 15 years ago. Practices with Great Lakes Pathologists SC, a 55-clinician group and accepts Medicare assignment. Licensed in Colorado and Wisconsin.

Years since qualifying
15
Licensed in
CO, WI
In the registry since
2016
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

8901 W Lincoln Ave
West Allis, WI 53227-2409
Phone: (414) 328-7997
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 67021-20 (WI)
Anatomic Pathology & Clinical Pathology Physician Taxonomy 207ZP0102X · Licence TL0005900 (CO)

Record details

NPI number1487014411
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 3, 2016
Last updated in NPPESDecember 8, 2021
Certification dateDecember 8, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPATHOLOGY
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Great Lakes Pathologists Sc — 55 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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