KATHRYN ELIZABETH LONG M.D. NPI 1083623672

NPI Information

Kathryn Elizabeth Long, M.D. is an adult medicine family medicine in Charlotte, NC. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. Kathryn Elizabeth Long, M.D. NPI is 1083623672. 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:

1338 HUNDRED OAKS DR
SUITE B
CHARLOTTE, NC
ZIP 28217-051
Phone: (704) 910-2250
Fax: (704) 817-8539

The NPI 1083623672 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 34D2130271 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/5/2006 and was last updated on 4/20/2017.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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