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

Kathy Song, PA-C

Individual provider Medical Physician Assistant · NPI 1396095360

Kathy Song, PA-C is a Medical Physician Assistant in Stroud, Oklahoma. Licensed in Alabama and Oklahoma. Registered with an NPI since 2012.

Licensed in
AL, OK
In the registry since
2012
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

356110 E 930 Rd
Stroud, OK 74079-5184
Phone: (918) 968-9531
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 1287 (AL)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 2160 (OK)

Record details

NPI number1396095360
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 17, 2012
Last updated in NPPESSeptember 3, 2019

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