Long, Kathy

Long, Kathy is an individual health care provider with primary practice located at 295 Hospital St , Moulton AL 35650-1210. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Long, Kathy can be contacted via phone (256) 974-6697.

Contact Information

Primary practice address
295 Hospital St Moulton AL 35650-1210
Fax: (256) 341-0747
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1518397108
LBN Legal business name Long, Kathy
Credentials BS
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2013
Last updated Nov 18th, 2013 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1518397108 NPPES
Alabama Other 51502236 BC/BS

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