Individual provider · Type 1 NPI

Kyuho Song

Student in an Organized Health Care Education/Training Program · Dallas, TX

NPI number 1831932623 Active

Practice location

5324 Harry Hines Boulevard
Dallas, TX 75390-0001

Call (949) 973-1827 Map

Mailing address

92 Plains Rd Apt D104
Milford, CT 06461-2511

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1831932623

Kyuho Song's National Provider Identifier is 1831932623, issued on Jun 18, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Dallas, TX. The record was last updated on Jun 18, 2024.