Kathleen L Long M.D.

NPI 1033177449 - Pediatrics - 2080A0000X

NPI Details
NPI 1033177449
Gender Female
Enumeration Date 05/03/2006
Last Updated 03/14/2008
Entity Type Individual
Active Over 11 years ago
Practice Location
1235 OSOS ST
SUITE 100
SAN LUIS OBISPO CA, 93401-3600, US
Phone (805) 549-0888
Fax (805) 549-8463
Business Location
1235 OSOS ST
SUITE 100
SAN LUIS OBISPO CA, 93401-3600, US
Phone (805) 549-0888
Fax (805) 549-8463
Toxanomy
Taxonomy Code 2080A0000X
License State California
License Number A23162
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According to our database, Dr. Kathleen L Long M.D. NPI is 1033177449, taxonomy code is 2080A0000X and license number is A23162, license state is located at California. Kathleen L Long M.D. physically located at 1235 Osos St, San Luis Obispo CA, 93401-3600. NPI Number Kathleen L Long M.D. has the Individual type.

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1033177449 NPI number is provided on an as is basis without warranty of any kind. 1033177449 is maintained by the National Plan & Provider Enumeration System. The contents of Kathleen L Long M.D. are for informational purposes only.