Soun Dai
Individual provider Active NPI Driver · Vine Grove, KY
NPI 1952255267 · NPPES record last updated Feb 24, 2026
Key facts
- NPI
- 1952255267
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- License
- BBA444 (KY)
- Practice address
- 782 Highland Ave
Vine Grove, KY 40175-1518 - Phone
- (585) 668-2006
- NPI assigned
- Feb 24, 2026
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BBA444 | KY | MD | Driver |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver |
172A00000X | BBA444 | KY | Yes |
Addresses
Primary practice location
782 Highland Ave
Vine Grove, KY 40175-1518
Mailing address
782 Highland Ave
Vine Grove, KY 40175-1518
Phone (585) 668-2006
Other providers in Vine Grove, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 24, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.