DoctorLicensePro

Dr. Cody Sullivan, MD

Internal Medicine

NPI: 1922531458 Kentucky
70/100
GoodTrusted

Trust Score based on license status, disciplinary record, board certification, experience, and data freshness.

Score Breakdown

License Status15/30

unknown

Disciplinary Record25/25

0 action(s)

Board Certification15/20

Not verified

Years in Practice9/15

9 years

Data Freshness6/10

Updated 1372 days ago

License Status

IllinoisActive
License #

036165650

Issued

Jul 1, 2023

Expires

Jul 31, 2026

Practice Information

Address
1530 LONE OAK RD
PADUCAH, KY 42003
Phone
(270) 444-2444
In Practice Since
April 11, 2017
Data Last Updated
September 28, 2022

NPI Details

NPI Number
1922531458
Status
Active
Taxonomy Code
207R00000X
Data sourced from CMS NPPES public database. Last verified: September 28, 2022. Report an error