MS. KATHRYN LONG NP-C NPI 1558900183

NPI Information

  • NPI: 1558900183
  • Provider Name: MS. KATHRYN LONG, NP-C
  • Classification: Nurse Practitioner - 363LP2300X
  • Specialization: Primary Care
  • Entity Type: Individual
  • Address: 1055 MEDICAL PARK DR SE
    GRAND RAPIDS, MI
    ZIP 49546
  • Phone: (616) 942-9610

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NPI Details

MS. Kathryn Long, NP-C is a primary care nurse practitioner in Grand Rapids, MI. MS. Kathryn Long, NP-C NPI is 1558900183. 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:

1055 MEDICAL PARK DR SE
GRAND RAPIDS, MI
ZIP 49546-607
Phone: (616) 942-9610

The enumeration date for this NPI number is 12/30/2019 and was last updated on 12/30/2019.

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
1363LP2300XNurse PractitionerPrimary Care4704253154MICHIGANYes

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: 11/21/2025

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