Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kelly Renee Sun, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1417488222

Kelly Renee Sun, DO is an Internal Medicine in Crestview Hills, Kentucky. Qualified in 2020, 6 years ago. Practices with Summit Medical Group Inc, a 799-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Kentucky.

Years since qualifying
6
Licensed in
KY
In the registry since
2017
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

334 Thomas More Pkwy
Crestview Hills, KY 41017-3464
Phone: (593) 410-2888
Fax: (859) 341-7482
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence TP658 (KY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1417488222
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 23, 2017
Last updated in NPPESNovember 9, 2020
Certification dateNovember 9, 2020
Mailing addressPo Box 635283, Cincinnati, OH 45263-5283

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Summit Medical Group Inc — 799 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Crestview Hills