Kellie Nicole Long, BSW is a student in an organized health care education training program in San Diego, CA. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Kellie Nicole Long, BSW NPI is 1073861779. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
3255 WING ST
SAN DIEGO, CA
ZIP 92110-638
Phone: (619) 221-8600
Fax: (619) 221-8619
The enumeration date for this NPI number is 8/28/2012 and was last updated on 8/28/2012.