Kyeongtak Song, PHD, ATC
NPI 1053089482 · Athletic Trainer · Lexington, KY
Kyeongtak Song, PHD, ATC is a Athletic Trainer provider in Lexington, KY (NPI 1053089482).
Provider details
- NPI number
- 1053089482
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PHD, ATC
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-08-31
- Last updated
- 2021-08-31
- Certified
- 2021-08-31
Frequently asked questions
- What is Kyeongtak Song's NPI number?
- Kyeongtak Song's National Provider Identifier (NPI) is 1053089482, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kyeongtak Song's specialty?
- Kyeongtak Song is listed in the NPPES registry with a primary specialty of Athletic Trainer (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Kyeongtak Song located?
- Kyeongtak Song's practice location on file with NPPES is 720 Sports Center Drive, Lexington, KY 40506-0001.
- What is Kyeongtak Song's phone number?
- The practice phone number listed in the NPPES registry for Kyeongtak Song is (859) 323-9850.
- Is Kyeongtak Song's NPI active?
- Yes — Kyeongtak Song's NPI (1053089482) is active in the NPPES registry as of the last update on 2021-08-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.