Song, Kyo Chul
Song, Kyo Chul is an individual health care provider with primary practice located at 100 Medical Blvd , Canonsburg PA 15317-9762. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Song, Kyo Chul can be contacted via phone (724) 745-3916.Contact Information
Primary practice address
100 Medical Blvd
Canonsburg PA 15317-9762
Phone: (724) 745-3916
Fax: (724) 746-6328
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | MD049917L | Pennsylvania |
Profile Details
| NPI number | 1184656753 |
|---|---|
| LBN Legal business name | Song, Kyo Chul |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 6th, 2006 |
| Last updated | Oct 2nd, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184656753 | NPPES |
| Pennsylvania | MEDICAID | 01465191 |
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