Individual
DR. YEON KYUNG SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2716 N TENAYA WAY, LAS VEGAS, NV 89128-0424
(702) 243-8500
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 578-3270
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
17071
NV
208M00000X
Hospitalist Physician
Primary
P9967
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1629210505
SMA MEDICAID
NV
Enumeration date
03/24/2009
Last updated
05/03/2017
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