Kevin R Long is a Specialist in Tacoma, Washington. Kevin R Long practices all healthcare services and medical treatments related to Specialist. The NPI Number for Kevin R Long is 1912096306. The last update date is 2008-05-15.
Kevin R Long's current location address is 4902 Tacoma Mall Blvd, Tacoma, Washington. You can contact this provider via phone number 2534730300 and fax number 2534730305. The mailing address for Kevin R Long is 4902 Tacoma Mall Blvd, Tacoma, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin R Long |
|---|---|
| Address | 4902 Tacoma Mall Blvd, Tacoma, Washington |
| Phone Number | 2534730300 |
| Fax Number | 2534730305 |
| Sole Proprietor | N |
| Credentials | L.M.P. |
NPI Number Detail
| NPI Number | 1912096306 |
|---|---|
| Provider Enumeration Date | 2006-10-12 |
| Last Updated Date | 2008-05-15 |
Provider Mailing Address Detail
| Address | 4902 Tacoma Mall Blvd |
|---|---|
| City | Tacoma |
| State | Washington (WA) |
| Post Code | 984097149 |
| Phone Number | 2534730300 |
| Fax Number | 2534730305 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | MA00016150 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Kevin R Long by the Centers for Medicare & Medicaid Services?
The Kevin R Long has been issued the NPI (National Provider Identifier) 1912096306, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Kevin R Long is physically located?
The Kevin R Long is situated at the following address: 4902 Tacoma Mall Blvd, Tacoma, WA 984097149.
What is Kevin R Long's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kevin R Long's specialized field of practice is Specialist, and the corresponding taxonomy code that categorizes this area of specialization is 174400000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1912096306 to Kevin R Long?
The Centers for Medicare & Medicaid Services originally issued the 1912096306 to Kevin R Long on 2006-10-12.
When was the information regarding Kevin R Long, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Kevin R Long, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-05-15.