person
Kenneth Song, MD
Student in an Organized Health Care Education/Training Program in Oakland, California
NPI 1548846579

Kenneth Song is a Student in an Organized Health Care Education/Training Program based in Oakland, CA. Kenneth Song practices in Oakland, CA and has the professional credentials of MD. The NPI Number for Kenneth Song is 1548846579 and holds a License No. (California).

The current practice location address for Kenneth Song is 275 W Macarthur Blvd, Oakland, CA and can be reached out via phone at 510-752-1000.

Location: 275 W Macarthur Blvd, Oakland, CA, 94611-5641
person
Provider Profile Details
NPI Number
1548846579
Provider Name
Kenneth Song
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
275 W Macarthur Blvd, Oakland, CA, 94611-5641
Phone Number
510-752-1000
Fax Number
Provider Enumeration Date
03/21/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
275 W Macarthur Blvd
City
State
Zip
94611-5641
Phone Number
510-752-1000
Fax Number
person
Provider Business Mailing Address Details
Address
275 W Macarthur Blvd
City
State
Zip
94611-5641
Phone Number
510-752-1000
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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