Kenneth W Long in Gulf Breeze - Family Medicine
Kenneth W Long - NPI 1114971991
Kenneth W Long is a Family Medicine in Gulf Breeze, Florida. Kenneth W Long practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Kenneth W Long is 1114971991. The last update date is 2014-02-21.
Kenneth W Long's current location address is 1395 El Rito Dr, Gulf Breeze, Florida. You can contact this provider via phone number 8509329251 and fax number 8509329199. The mailing address for Kenneth W Long is 1395 El Rito Dr, Gulf Breeze, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth W Long |
|---|---|
| Address | 1395 El Rito Dr, Gulf Breeze, Florida |
| Phone Number | 8509329251 |
| Fax Number | 8509329199 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1114971991 |
|---|---|
| Provider Enumeration Date | 2006-05-19 |
| Last Updated Date | 2014-02-21 |
Provider Mailing Address Detail
| Address | 1395 El Rito Dr |
|---|---|
| City | Gulf Breeze |
| State | Florida (FL) |
| Post Code | 325636707 |
| Phone Number | 8509329251 |
| Fax Number | 8509329199 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | ME77376 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 259005100 | FL | -- |
Post Comment/ Review Below
What is the Kenneth W Long's unique identification number?
The Kenneth W Long has been assigned the NPI (National Provider Identifier) Number 1114971991 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Kenneth W Long is located?
The Kenneth W Long is situated at the following address: 1395 El Rito Dr, Gulf Breeze, FL, 325636707.
What is Kenneth W Long's area of expertise and its corresponding taxonomy classification?
The Kenneth W Long's field of specialization is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1114971991 assigned to Kenneth W Long?
The Kenneth W Long was issued its 1114971991 on 2006-05-19, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Kenneth W Long most recently updated or revised?
The details related to Kenneth W Long, including its address, specialty, and other relevant information, were last updated or revised on 2014-02-21.
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