Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KYEONGTAK SONG, PHD, ATC
ActiveDR. KYEONGTAK SONG, PHD, ATC is a Athletic Trainer healthcare provider located in LEXINGTON, Kentucky. NPI 1053089482 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · LEXINGTON, KY
Registration Details
- NPI Number
- 1053089482
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 31, 2021 (4.9301579300622 yrs)
- Last Updated
- Aug 31, 2021
Practice Information
- Address
-
720 SPORTS CENTER DRIVELEXINGTON, KY, 405060001Browse KY providers · Browse ZIP 40506
- Phone
- 8593239850
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in LEXINGTON, KY
| Name | Credential | NPI |
|---|---|---|
| AARON DAVID SCIASCIA | MS, ATC, NS | 1508841578 |
| MR. KEITH J. WEBSTER | ATC | 1629055090 |
| LARRY ROBERT ULLERY | ATC | 1558325076 |
| SARAH JENNIFER WILLIAMS | MS, ATC | 1720042781 |
| MR. DAVID C JACOBS | MA, ATC | 1982668943 |
| MR. GREGORY LEE JACKSON | MS, ATC | 1356306203 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.