Individual
DR. YU SONG KAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
166 HANOVER ST, WILKES BARRE, PA 18702-3544
(570) 829-6644
(570) 829-6446
Mailing address
166 HANOVER ST, WILKES BARRE, PA 18702-3544
(570) 829-6644
(570) 829-6446
Taxonomy
Speciality
Code
Description
License number
State
2084P0015X
Psychosomatic Medicine Physician
Primary
MD 017676E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1019671780001
—
PA
01
—
KA137105
BLUE SHIELD
PA
Enumeration date
05/24/2007
Last updated
11/20/2007
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