| Yu Song Kao Mdpc | |
|
166 Hanover Street Wilkes Barre PA 18702-3544 | |
| (570) 829-6644 | |
| (570) 829-6446 |
| Full Name | Yu Song Kao Mdpc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 166 Hanover Street, Wilkes Barre, Pennsylvania |
| Authorized Official Name and Position | Yu Song Kao (PRESIDENT) |
| Authorized Official Contact | 5708296644 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Yu Song Kao Mdpc 166 Hanover Street Wilkes Barre PA 18702-3544 Ph: (570) 829-6644 | Yu Song Kao Mdpc 166 Hanover Street Wilkes Barre PA 18702-3544 Ph: (570) 829-6644 |
| NPI Number | 1720041106 |
|---|---|
| Provider Enumeration Date | 04/07/2006 |
| Last Update Date | 12/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720041106 | NPI | - | NPPES |
| 0006019400002 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | MD017676E (Pennsylvania) | Primary |
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