Individual provider · Type 1 NPI

Ken Song

General Practice Physician · Tripler Amc, HI

NPI number 1700773629 Active

Practice location

1 Jarrett White Rd
Tripler Amc, HI 96859-5001

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000X0101290828 (VA)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1700773629

Ken Song's National Provider Identifier is 1700773629, issued on Jun 23, 2025. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Tripler Amc, HI. The record was last updated on Sep 25, 2026.