Kim T. Long MD

NPI 1043250194 - Pediatrics - 208000000X

NPI Details
NPI 1043250194
Gender Female
Enumeration Date 06/07/2006
Last Updated 08/23/2011
Entity Type Individual
Active Over 11 years ago
Practice Location
4011 N 51ST AVE
PHOENIX AZ, 85031-2601, US
Phone (623) 344-6900
Fax (623) 344-6969
Business Location
PHOENIX AZ, 85016-8034, US
Phone (602) 470-5000
Taxonomy Code 208000000X
License State Arizona
License Number 16770
Remove 1043250194 NPI Number

According to our database, Dr. Kim T. Long MD NPI is 1043250194, taxonomy code is 208000000X and license number is 16770, license state is located at Arizona. Kim T. Long MD physically located at 4011 N 51st Ave, Phoenix AZ, 85031-2601. NPI Number Kim T. Long MD has the Individual type.

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1043250194 NPI number is provided on an as is basis without warranty of any kind. 1043250194 is maintained by the National Plan & Provider Enumeration System. The contents of Kim T. Long MD are for informational purposes only.