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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KEN SONG
NPI 1700773629
General Practice in Tripler Amc, HI

Active since June 23, 2025
1 JARRETT WHITE RD, TRIPLER AMC, HI 96859(808) 433-2737 Get Directions Write a Review

NPPES record last updated: September 25, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 25, 2026, Jun 23, 2025 (2 updates tracked since 2025).

About Ken Song NPPES

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

KEN SONG (NPI 1700773629) is an individual general practice provider in Tripler Amc, Hawaii, licensed in Virginia (0101290828) and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1700773629
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameKEN SONG
Location Address1 JARRETT WHITE RDTripler Amc, HI 96859-5001
Mailing Address1 Jarrett White RdTripler Amc, HI 96859-5001
Phone(808) 433-2737
Sole ProprietorNo
Enumeration DateJune 23, 2025
Last NPPES UpdateSeptember 25, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 25, 2026
✔ NPI 1700773629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in VA · 0101290828
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
1 JARRETT WHITE RD, Tripler Amc, HI 96859
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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.

CORINNE REYES LCSW
Social Worker (Clinical)
1 JARRETT WHITE RD
TRIPLER AMC, HI 96859
Honolulu County (808) 433-8785
DANIEL HEILMANN DO
Pediatrics
1 JARRETT WHITE RD
TRIPLER AMC, HI 96859
Honolulu County (808) 433-6697
MR. ADRIAN SCOTT WORTHEN M.D.
Internal Medicine
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER
TRIPLER ARMY MEDICAL CENTER, HI 96859
Honolulu County (808) 433-4049
DR. JANE ELIZABETH MARSHALL OTD, OTR/L
Occupational Therapist
1 JARRETT WHITE RD
TRIPLER ARMY MEDICAL CENTER, HI 96859
Honolulu County (937) 231-3795
TINA WILSON DO
General Practice
1 JARRETT WHITE RD
TRIPLER ARMY MEDICAL CENTER, HI 96859
Honolulu County (210) 220-7961
MRS. LASHON SHEREMA WILLIAMS PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1 JARRETT WHITE RD
TRIPLER AMC, HI 96859
Honolulu County (808) 433-8601
DR. NICHOLAS PATRICK MAHER DO
General Practice
1 JARRETT WHITE RD
TRIPLER AMC, HI 96859
Honolulu County (888) 683-2778
DR. KIMBERLY D DAVIS MD
Ophthalmology
1 JARRETT WHITE RD
TRIPLER ARMY MEDICAL CENTER, HI 96859
Honolulu County (808) 471-9998

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 Ken Song's NPI number?

The NPI number for Ken Song is 1700773629. It was assigned to this individual provider in the NPPES registry on June 23, 2025.

Where is Ken Song located?

Ken Song practices at 1 Jarrett White Rd, Tripler Amc, HI 96859. The listed phone number is (808) 433-2737.

What is Ken Song's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Ken Song was last updated on September 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.