Kenneth Sullivan, MD
NPI 1902899917 · Family Medicine Physician · Berlin, WI
Kenneth Sullivan, MD is a Family Medicine Physician provider in Berlin, WI (NPI 1902899917).
Provider details
- NPI number
- 1902899917
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- License
- 40493-020 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-08-24
- Last updated
- 2025-09-11
Frequently asked questions
- What is Kenneth Sullivan's NPI number?
- Kenneth Sullivan's National Provider Identifier (NPI) is 1902899917, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenneth Sullivan's specialty?
- Kenneth Sullivan is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Kenneth Sullivan located?
- Kenneth Sullivan's practice location on file with NPPES is 225 Memorial Dr, Berlin, WI 54923-1243.
- What is Kenneth Sullivan's phone number?
- The practice phone number listed in the NPPES registry for Kenneth Sullivan is (920) 361-5525.
- Is Kenneth Sullivan's NPI active?
- Yes — Kenneth Sullivan's NPI (1902899917) is active in the NPPES registry as of the last update on 2025-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.