Long, Kristin Leigh

Long, Kristin Leigh is an individual health care provider with primary practice located at 600 Highland Ave , Madison WI 53792-0001. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Long, Kristin Leigh can be contacted via phone (608) 263-7502.

Contact Information

Primary practice address
600 Highland Ave Madison WI 53792-0001
Phone: (608) 263-7502
Fax: (608) 263-7652
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X Q4456 Texas
Allopathic & Osteopathic Physicians / Surgery 208600000X R2050 Kentucky
Allopathic & Osteopathic Physicians / Surgery 208600000X 66041-20 Wisconsin

Profile Details

NPI number 1225262033
LBN Legal business name Long, Kristin Leigh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2009
Last updated Jan 25th, 2021 - about 5 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 1225262033 NPPES
Texas MEDICAID 348217601 (MDACC)

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