Individual
KENNETH P SUN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
382 EPPS ST, BOX 266, WIND GAP, PA 18091-9717
(610) 863-8598
(610) 863-0267
Mailing address
382 EPPS ST, PO BOX 266, WIND GAP, PA 18091-9717
(610) 863-8598
(610) 863-0267
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MD056132L
PA
Other
Enumeration date
07/19/2005
Last updated
07/08/2007
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