KATHRYN ELIZABETH LONG


Address: 1338 Hundred Oaks Dr, Suite B, Charlotte, NC 28217-4051
Phone: 7049102250

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).

Provider Overview

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

Taxonomy

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

Other Providers KATHRYN LONG

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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

Office Location

Street Address 1338 HUNDRED OAKS DR
SUITE B
City CHARLOTTE
State NC
Zip Code 28217-4051

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207QA0505X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Adult Medicine

Taxonomy Definition

Definition to come.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City CHARLOTTE
Zip Code 28217

Improve Information

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Dataset Information

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.

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