Sung, Jenny J

Sung, Jenny J is an individual health care provider with primary practice located at 120 Marie Langdon Dr , Manchester KY 40962-6352. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is her primary health care specialty. Sung, Jenny J can be contacted via phone (606) 598-0328.

Contact Information

Primary practice address
120 Marie Langdon Dr Manchester KY 40962-6352
Phone: (606) 598-0328
Fax: (606) 599-0296
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X TP702 Kentucky
Allopathic & Osteopathic Physicians / Surgery 208600000X 40392 Kentucky

Profile Details

NPI number 1346259173
LBN Legal business name Sung, Jenny J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2006
Last updated Dec 22nd, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346259173 NPPES
Kentucky MEDICAID 64128101

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