Individual
DR. LESA SUE SUTTON-DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2000 N ELM ST STE 1B, HENDERSON, KY 42420-2385
(270) 844-8144
(270) 844-8145
Mailing address
PO BOX 638706, CINCINNATI, OH 45263-8706
(270) 827-7558
(270) 827-7530
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
36607
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000910700
ANTHEM - NCMA
KY
01
—
170480
SIHO-NCMA
KY
01
—
50086969
PASSPORT - NCMA BRECKENRIDGE
KY
01
—
50086973
PASSPORT - NCMA FAIRDALE
KY
05
—
64027493
—
KY
Enumeration date
07/13/2005
Last updated
03/17/2018
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