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Individual

JENNY J SUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
120 MARIE LANGDON DR, MANCHESTER, KY 40962-6352
(606) 598-0328
(606) 599-0296
Mailing address
509 MEMORIAL DR, SUITE 2, MANCHESTER, KY 40962-6196
(606) 598-5104

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
TP702
KY
208600000X
Surgery Physician
Primary
40392
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64128101
KY
Enumeration date
08/08/2006
Last updated
12/22/2021
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