KYLE DAVID LONG PA-C NPI 1144781576

NPI Information

NPI: 1144781576
Provider Name: KYLE DAVID LONG, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
77 NEALY AVE
HAMPTON, VA
ZIP 23665
Phone: (757) 225-6767
Get Directions

Kyle David Long, PA-C is a medical physician assistant in Hampton, VA. Kyle David Long, PA-C NPI is 1144781576. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

77 NEALY AVE
HAMPTON, VA
ZIP 23665-040
Phone: (757) 225-6767

The enumeration date for this NPI number is 3/28/2019 and was last updated on 1/2/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	0110006758	VIRGINIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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