KATHRYN ELIZABETH LONG (NPI# 1083623672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083623672 |
Entity Type | Individual |
Full Name | KATHRYN ELIZABETH LONG |
Credential | M.D. |
Practice Address |
1338 Hundred Oaks Dr Suite B Charlotte NC 28217-4051 |
Mailing Address |
1827 Chestnut Ave Charlotte NC 28205-3017 |
Practice Telephone | 7049102250 |
Practice Fax Number | 7048178539 |
Mailing Telephone | 7049102250 |
Mailing Fax Number | 7048178539 |
Enumeration Date | 2006-08-05 |
Last Update Date | 2017-04-20 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207Q00000X | Family Medicine | 200100065 | NC | Allopathic & Osteopathic Physicians |
Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
200100065 | NC | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386103133 | Kathryn Long | Behavior Technician | 7351 W Charleston Blvd Bldg Ste120, Las Vegas, NV 89117-1502 | 2019-03-19 |
1760855035 | Kathryn Long | Case Manager/Care Coordinator | 3863 South First Street, Jena, LA 71342 | 2015-11-09 |
1043686280 | Kathryn Ann Long | Registered Nurse | 460 S. Eliot Ave., Rush City, MN 55069 | 2015-08-11 |
1346417821 | Kathryn Wood Long | Counselor | 1011 Guilford Rd, Charlotte, NC 28209-1204 | 2008-05-13 |
1871108886 | Kathryn M Long | Peer Specialist | 2052 Princeton Rd, Fairfield Township, OH 45011-4746 | 2020-09-15 |
1558900183 | Kathryn Long | Nurse Practitioner | 1055 Medical Park Dr Se, Grand Rapids, MI 49546-3607 | 2019-12-30 |
1194244277 | Kathryn Gray Long | Physical Medicine & Rehabilitation | 350 New Fidelity Ct, Garner, NC 27529-2665 | 2017-09-11 |
1104289677 | Kathryn Long | Internal Medicine | 1800 Orleans St, Baltimore, MD 21287-0010 | 2016-04-01 |
1427223437 | Kathryn R Long | Dietitian, Registered | 1000 S 2nd St, Sunbury, PA 17801-3318 | 2008-04-30 |
1487748695 | Kathryn A Long | Counselor | 106 Springview Ln, Summerville, SC 29485-8108 | 2006-10-03 |
Street Address |
1338 HUNDRED OAKS DR SUITE B |
City | CHARLOTTE |
State | NC |
Zip Code | 28217-4051 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962017798 | Kelby Rae Hurlocker | Specialist/Technologist | 500 Center Park Dr, Charlotte, NC 28217 | 2020-09-09 |
1356967749 | Optum Pharmacy 701, LLC | Pharmacy | 4015 Shopton Rd, Suite 600, Charlotte, NC 28217 | 2020-06-22 |
1598302937 | Brigit Boyce | Occupational Therapist | 8848 Red Oak Blvd, Ste Aa, Charlotte, NC 28217 | 2019-12-04 |
1275016933 | Zarah Pulfrey | Physician Assistant | Womack Medical Center, 2817 Riley Road, Fort Bragg, NC 28217 | 2018-09-10 |
1972085918 | Dynamic Health Medical Group Pllc | Pain Medicine | 4705 South Blvd, Charlotte, NC 28217 | 2018-09-06 |
1184102048 | Charday Caple | Counselor | 735 Echodale Dr, Charlotte, NC 28217 | 2018-08-02 |
1326532250 | Dupont Livery LLC | Non-emergency Medical Transport (VAN) | 4200 S Tryon St, Charlotte, NC 28217 | 2018-06-14 |
1891215232 | Lakesha Shamise Welch | Counselor | 5709 South Hampton R., Charlotte, NC 28217 | 2017-06-27 |
1245768282 | Allison Harris Lafone | Counselor | 515 Clanton Road, Charlotte, NC 28217 | 2017-06-02 |
1619416906 | Charlie Randolph Taylor Jr. | Counselor | 517 Clanton Road, Charlotte, NC 28217 | 2017-02-20 |
Find all providers in zip 28217 |
Taxonomy Code | 207QA0505X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Adult Medicine |
Definition to come. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578171724 | Immuno Professionals Pllc | Family Medicine | 9300 Harris Corners Pkwy Ste 160, Charlotte, NC 28269-3791 | 2020-07-14 |
1447674866 | Memory Center Charlotte, Pllc | Family Medicine | 300 Billingsley Rd, Suite 108, Charlotte, NC 28211-1075 | 2014-02-05 |
1700061660 | Access Family Services, Inc | Family Medicine | 2633 West Blvd, Charlotte, NC 28208-6705 | 2008-01-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538771795 | Michelle Muhammad | Family Medicine | 1589 Skeet Club Rd Ste 102-218, High Point, NC 27265-8817 | 2020-08-19 |
1225549991 | Tawfiq Ansari | Family Medicine | 5 Scarlet Oak Ct, Durham, NC 27712-8971 | 2017-10-20 |
1215457924 | J Arthur Dosher Memorial Hospital | Family Medicine | 906 N Howe Street, Southport, NC 28461-2846 | 2017-06-23 |
1215342779 | Alexandria Kadolph | Family Medicine | Moses Cone Hospital, 1121 N Church St, Greensboro, NC 27405 | 2014-06-24 |
1669715868 | David A Crowe | Family Medicine | West Wilkes Family Medicine, 171 West Wilkes Medical Center Blvd., Ferguson, NC 28624-8925 | 2013-04-05 |
1417261736 | Talton Physician Services Pllc | Family Medicine | 201 Crest Dr, Mount Olive, NC 28365-2619 | 2010-07-28 |
1366686271 | Arturo De Jesus De Leon | Family Medicine | 2903 Adrian Ct, Raleigh, NC 27604-5811 | 2009-04-22 |
1922132620 | Larry S Kilby Md Pa | Family Medicine | 1208 E St, N Wilkesboro, NC 28659-4018 | 2007-03-15 |
1720120470 | Carole Maxwell Stuart | Family Medicine | Lower Level Reynolds Gym-wingate Rd., Wingate Rd., Winston-salem, NC 27109 | 2007-02-12 |
1932247079 | R. Bruce Kelly | Family Medicine | 932 Old Hwy 70 West, Black Mountain, NC 28711 | 2007-02-01 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.