Doctor Name: | KENNETH P SUN |
NPI Number: | 1881693109 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | MD056132L |
Business Practice Address: | 382 Epps St Box 266 Wind Gap, PA - 180919717 |
Business Phone Number: | 6108638598 |
Business Fax Number: | 6108630267 |
Mailing Address: | 382 Epps St, Po Box 266 WIND GAP |
State: | PA |
Postal Code: | 180919717 |
Phone Number: | 6108638598 |
Fax Number: | 6108630267 |
NPI Enumeration Date: | 07/19/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | 03/20/2006 |
NPI Reactivation Date: | 03/27/2006 |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207LP2900X |
License Number: | MD056132L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Anesthesiology |
Taxonomy Specialization: | Pain Medicine |
Taxonomy Definition: | An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |