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

Mr. Kenneth W Sullivan, MD

Individual provider Family Medicine Physician · NPI 1376637215

Mr. Kenneth W Sullivan, MD is a Family Medicine Physician in Joelton, Tennessee. Practices as a sole proprietor. Licensed in Tennessee.

Licensed in
TN
In the registry since
2006
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

3511 Old Clarksville Pike
Joelton, TN 37080-8892
Phone: (615) 299-5341
Fax: (615) 299-5386
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 27509 (TN)

Record details

NPI number1376637215
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedOctober 3, 2006
Last updated in NPPESJune 9, 2015

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