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KEVIN KRAFT SONG DO
NPI 1558063214
Student in an Organized Health Care Education/Training Program in Lone Tree, CO

Active since March 20, 2023PECOS Enrolled
10099 RIDGEGATE PKWY STE 200, LONE TREE, CO 80124(720) 788-0508 Get Directions Write a Review

NPPES record last updated: March 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kevin Kraft Song Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEVIN KRAFT SONG DO (NPI 1558063214) is an individual student in an organized health care education/training program in Lone Tree, Colorado and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558063214
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameKEVIN KRAFT SONGCredential: DO
Location Address10099 RIDGEGATE PKWY STE 200Lone Tree, CO 80124-5532
Mailing Address10099 Ridgegate Pkwy Ste 200Lone Tree, CO 80124-5532
Phone(720) 788-0508
Sole ProprietorNo
Enumeration DateMarch 20, 2023
NPPES CertifiedMarch 18, 2023
✔ NPI 1558063214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
10099 RIDGEGATE PKWY STE 200, Lone Tree, CO 80124
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kevin Kraft Song Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ANGEL ANTHONY EGUARAS III M.D.
Student in an Organized Health Care Education/Training Program
10099 RIDGEGATE PKWY STE 200
LONE TREE, CO 80124
Douglas County (720) 476-3364
KENYA LINDSTROM DO
Student in an Organized Health Care Education/Training Program
10099 RIDGEGATE PKWY STE 200
LONE TREE, CO 80124
Douglas County (720) 225-4464
ALISA GERMEYER DO
Student in an Organized Health Care Education/Training Program
10099 RIDGEGATE PKWY STE 200
LONE TREE, CO 80124
Douglas County (720) 225-4466
LOGAN BLACKNEY DO
Student in an Organized Health Care Education/Training Program
10099 RIDGEGATE PKWY STE 200
LONE TREE, CO 80124
Douglas County (720) 225-4466
MS. ALEX KRETOWICZ
Student in an Organized Health Care Education/Training Program
10099 RIDGEGATE PKWY STE 200
LONE TREE, CO 80124
Douglas County (720) 875-2889
MISS HALEY NEWPORT DO
Internal Medicine
10099 RIDGEGATE PKWY STE 200
LONE TREE, CO 80124
Douglas County (720) 225-4464
TRACY TANG
Student in an Organized Health Care Education/Training Program
10099 RIDGEGATE PKWY STE 200
LONE TREE, CO 80124
Douglas County (720) 225-4466
DR. CORINNE RICCI DO
Student in an Organized Health Care Education/Training Program
10099 RIDGEGATE PKWY STE 200
LONE TREE, CO 80124
Douglas County (720) 225-4466

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Song's NPI number?

The NPI number for Kevin Song is 1558063214. It was assigned to this individual provider in the NPPES registry on March 20, 2023.

Where is Kevin Song located?

Kevin Song practices at 10099 Ridgegate Pkwy Ste 200, Lone Tree, CO 80124. The listed phone number is (720) 788-0508.

What is Kevin Song's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kevin Song enrolled in Medicare?

Yes. Kevin Song is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kevin Song was last updated on March 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.