Long, Kathryn

Long, Kathryn is an individual health care provider with primary practice located at 1055 Medical Park Dr Se , Grand Rapids MI 49546-3607. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Long, Kathryn can be contacted via phone (616) 942-9610.

Contact Information

Primary practice address
1055 Medical Park Dr Se Grand Rapids MI 49546-3607
Phone: (616) 942-9610
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 4704253154 Michigan

Profile Details

NPI number 1558900183
LBN Legal business name Long, Kathryn
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2019
Last updated Dec 30th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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