Kathleen Long is a Pediatrics in Plymouth, Michigan. Kathleen Long practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Kathleen Long is 1720129224. The last update date is 2007-07-08.
Kathleen Long's current location address is 990 W Ann Arbor Trl, Plymouth, Michigan. You can contact this provider via phone number 7344554600 and fax number 7344555637. The mailing address for Kathleen Long is 990 W Ann Arbor Trl, Plymouth, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kathleen Long |
|---|---|
| Address | 990 W Ann Arbor Trl, Plymouth, Michigan |
| Phone Number | 7344554600 |
| Fax Number | 7344555637 |
| Sole Proprietor | N |
| Credentials | CNP |
NPI Number Detail
| NPI Number | 1720129224 |
|---|---|
| Provider Enumeration Date | 2007-02-09 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 990 W Ann Arbor Trl |
|---|---|
| City | Plymouth |
| State | Michigan (MI) |
| Post Code | 481706204 |
| Phone Number | 7344554600 |
| Fax Number | 7344555637 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 363Lp0200X |
| Licence No | 4704148138 |
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Definition: An advanced practice registered nurse expert in providing care to infants, children and adolescents. |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Kathleen Long by the Centers for Medicare & Medicaid Services?
The Kathleen Long has been assigned the NPI (National Provider Identifier) 1720129224 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Kathleen Long's physical address?
The Kathleen Long is physically located at 990 W Ann Arbor Trl, in the city of Plymouth, MI, with the postal code 481706204.
What is Kathleen Long's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kathleen Long's specialized field of practice is Pediatrics, and the corresponding taxonomy code that categorizes this area of specialization is 363Lp0200X.
When did the Kathleen Long receive its 1720129224?
The Kathleen Long was issued its 1720129224 on 2007-02-09, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Kathleen Long most recently updated or revised?
The information pertaining to Kathleen Long, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.