Kao, Yu Song

Kao, Yu Song is an sole proprietor health care provider with primary practice located at 166 Hanover St , Wilkes Barre PA 18702-3544. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychosomatic Medicine, which is considered as his primary health care specialty. Kao, Yu Song can be contacted via phone (570) 829-6644.

Contact Information

Primary practice address
166 Hanover St Wilkes Barre PA 18702-3544
Phone: (570) 829-6644
Fax: (570) 829-6446
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychosomatic Medicine 2084P0015X MD 017676E Pennsylvania

Profile Details

NPI number 1952512808
LBN Legal business name Kao, Yu Song
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 24th, 2007
Last updated Nov 20th, 2007 - about 17 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 1952512808 NPPES
Pennsylvania MEDICAID 1019671780001
Pennsylvania Other KA137105

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