Individual
SOUN DAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
782 HIGHLAND AVE, VINE GROVE, KY 40175-1518
(585) 668-2006
Mailing address
782 HIGHLAND AVE, VINE GROVE, KY 40175-1518
(585) 668-2006
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
BBA444
KY
Other
Enumeration date
02/24/2026
Last updated
02/24/2026
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