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Kathy Song, PA-C
Medical Physician Assistant in Stroud, Oklahoma
NPI 1396095360

Kathy Song is a Medical Physician Assistant based in Vestavia, OK and is specialized in Medical. Kathy Song practices in Stroud, OK and has the professional credentials of PA-C. The NPI Number for Kathy Song is 1396095360 and holds a License No. 1287 (Oklahoma).

The current practice location address for Kathy Song is 356110 E 930 Rd, Stroud, OK and can be reached out via phone at 918-968-9531.

Location: 356110 E 930 Rd, Stroud, OK, 35243-2502
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396095360
Provider Name
Kathy Song
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
356110 E 930 Rd, Stroud, OK, 35243-2502
Phone Number
918-968-9531
Fax Number
Provider Enumeration Date
09/17/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
356110 E 930 Rd
City
Stroud
State
Oklahoma
Zip
74079-5184
Phone Number
918-968-9531
Fax Number
person
Provider Business Mailing Address Details
Address
356110 E 930 Rd
City
Stroud
State
Oklahoma
Zip
74079-5184
Phone Number
918-968-9531
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
1287 (Alabama)
Definition
Definition to come...
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