Individual provider · Type 1 NPI

Kathy Song, PA-C

Medical Physician Assistant · Stroud, OK

NPI number 1396095360 Active

Practice location

356110 E 930 Rd
Stroud, OK 74079-5184

Call (918) 968-9531 Map

Mailing address

2868 Acton Rd
Vestavia, AL 35243-2502

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X1287 (AL)
Medical Physician Assistant 363AM0700X2160 (OK)

Medical Physician Assistant: Definition to come...

19 other providers at this address

Other medical physician assistant providers in Stroud

See all in Stroud →

About NPI 1396095360

Kathy Song, PA-C's National Provider Identifier is 1396095360, issued on Sep 17, 2012. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Stroud, OK. The record was last updated on Sep 3, 2019.