Individual
KENNETH S SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1959 NE PACIFIC ST, C212, BOX 356340, SEATTLE, WA 98195-6340
(206) 543-0065
Mailing address
1959 NE PACIFIC ST, C212, BOX 356340, SEATTLE, WA 98195-6340
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD00043897
WA
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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