Individual
DAVID SUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
210 E GRAY ST STE 1105, LOUISVILLE, KY 40202-3907
(502) 583-1609
(502) 583-2120
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
43463
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000671186
ANTHEM- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY
KY
01
—
000052153X
HUMANA- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY
KY
05
—
200994400
—
IN
01
—
50029799
PASSPORT- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY
KY
05
—
7100125110
—
KY
01
—
P00861082
RAILROAD MEDICARE- NNIKY
KY
Enumeration date
01/04/2007
Last updated
01/22/2021
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