KYEONGTAK SONG

LEXINGTON, KY
NPI1053089482
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2021-08-31
Last Update Date2021-08-31
Business Address
Dr. KYEONGTAK SONG PhD, ATC
720 SPORTS CENTER DRIVE
LEXINGTON, KY 40506-0001
Phone number: 859-323-9850
Mailing Address
Dr. KYEONGTAK SONG PhD, ATC
2775 POLO CLUB BLVD UNIT 305
LEXINGTON, KY 40509-8362
Phone number: 704-497-0894
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