Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kyo Chul Song, MD

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1184656753

Dr. Kyo Chul Song, MD is a Pathology in Canonsburg, Pennsylvania. Qualified in 1983, 43 years ago. Practices with Advanced Diagnostic Pathology Associates, Ltd, a 2-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
43
Licensed in
PA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

100 Medical Blvd
Canonsburg, PA 15317-9762
Phone: (724) 745-3916
Fax: (724) 746-6328
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence MD049917L (PA)

Record details

NPI number1184656753
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 6, 2006
Last updated in NPPESOctober 2, 2020
Certification dateOctober 2, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPATHOLOGY
Medical schoolOTHER
Graduated 1983 (43 years in practice)
Group practice Advanced Diagnostic Pathology Associates, Ltd — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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