Randy J. Long in Wichita - Physician Assistant
Randy J. Long - NPI 1366520686
Randy J. Long is a Physician Assistant in Wichita, Kansas. Randy J. Long practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Randy J. Long is 1366520686. The last update date is 2010-01-28.
Randy J. Long's current location address is 9350 E. 35th Street North, Wichita, Kansas. You can contact this provider via phone number 3166166272 and fax number 3166160407. The mailing address for Randy J. Long is 9350 E. 35th Street North, Wichita, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randy J. Long |
|---|---|
| Address | 9350 E. 35th Street North, Wichita, Kansas |
| Phone Number | 3166166272 |
| Fax Number | 3166160407 |
| Sole Proprietor | N |
| Credentials | PA-C, FAPA |
NPI Number Detail
| NPI Number | 1366520686 |
|---|---|
| Provider Enumeration Date | 2006-11-02 |
| Last Updated Date | 2010-01-28 |
Provider Mailing Address Detail
| Address | 9350 E. 35th Street North |
|---|---|
| City | Wichita |
| State | Kansas (KS) |
| Post Code | 67226 |
| Phone Number | 3166166272 |
| Fax Number | 3166160407 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 1500793 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100402610B | KS | -- | |
| 2004260304 | KS | -- | |
| 426953 | KS | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the Randy J. Long's unique identification number?
The Randy J. Long has been assigned the NPI (National Provider Identifier) Number 1366520686 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Randy J. Long's facilities are geographically located?
The facilities of Randy J. Long are physically situated at the following location: 9350 E. 35Th Street North, Wichita, KS, 67226.
What is Randy J. Long's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Randy J. Long is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.
On what date did the Randy J. Long receive the assignment of its 1366520686 from the Centers for Medicare & Medicaid Services?
The Randy J. Long was issued its 1366520686 by the Centers for Medicare & Medicaid Services on 2006-11-02.
When was the information related to Randy J. Long most recently updated or refreshed?
The details pertaining to the Randy J. Long, including its address, specialty, and other relevant information, were last updated or refreshed on 2010-01-28.