KYLE DAVID LONG (NPI# 1144781576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144781576 |
| Entity Type | Individual |
| Full Name | KYLE DAVID LONG |
| Credential | PA-C |
| Practice Address |
77 Nealy Ave Hampton VA 23665-2040 |
| Mailing Address |
4701 Lake Shore Dr Chesapeake VA 23321-1383 |
| Practice Telephone | 7572256767 |
| Mailing Telephone | 7578034806 |
| Enumeration Date | 2019-03-28 |
| Last Update Date | 2020-01-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
0110006758 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710524921 | Kyle Long | Behavioral Analyst | 1718 24th Ave N, Nashville, TN 37208-1902 | 2019-12-06 |
| 1396195582 | Kyle Long | Registered Nurse | 2567 C St, San Diego, CA 92102-2114 | 2016-06-17 |
| 1104912492 | Kyle Floyd Long | Dentist | 3955 E Exposition, Suite 110, Denver, CO 80209 | 2006-10-05 |
| 1528569258 | Kyle Long | Behavior Technician | 25201 Paseo De Alicia Ste 110, Laguna Hills, CA 92653-4627 | 2018-02-27 |
| 1114311412 | Kyle Long | Pharmacist | 701 W Houston St, Broken Arrow, OK 74012-3759 | 2015-03-24 |
| 1033525639 | Kyle Long | Internal Medicine | 601 Elmwood Ave, Rochester, NY 14642 | 2014-07-03 |
| 1922431758 | Kyle Dean Long | Pharmacist | 724 N 22nd St, Saint Joseph, MO 64506-2604 | 2013-08-15 |
| 1609814391 | Kyle Y Long | Psychiatry & Neurology | 725 Highland Ave, Winston Salem, NC 27101-4206 | 2006-06-03 |
| Street Address |
77 NEALY AVE |
| City | HAMPTON |
| State | VA |
| Zip Code | 23665-2040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922091966 | Arthur J Greenwood | Obstetrics & Gynecology | 77 Nealy Ave, Hampton, VA 23665-2040 | 2005-08-24 |
| 1659979961 | Melissa Danielle Hanley | Nurse Practitioner | 77 Nealy Ave, Hampton, VA 23665-2040 | 2020-10-09 |
| 1821609488 | Julianne Legierse | Nurse Practitioner | 77 Nealy Ave, Hampton, VA 23665-2040 | 2020-08-16 |
| 1386252872 | Joseph John Mieding | Military Health Care Provider | 77 Nealy Ave, Hampton, VA 23665-2040 | 2020-07-21 |
| 1487270195 | Juan Rafael Rodriguez | Military Health Care Provider | 77 Nealy Ave, Hampton, VA 23665-2040 | 2020-06-18 |
| 1710510722 | Robert Dillon Huhn | Nurse Practitioner | 77 Nealy Ave, Emergency Department, Hampton, VA 23665-2040 | 2020-02-18 |
| 1497387401 | Duc Ha | Military Health Care Provider | 77 Nealy Ave, Hampton, VA 23665-2040 | 2020-02-07 |
| 1962034967 | Maria Theresa Leusink | Pharmacist | 77 Nealy Ave, Hampton, VA 23665-2040 | 2020-02-07 |
| 1316585755 | Victoria Marie Larwin | Family Medicine | 77 Nealy Ave, Hampton, VA 23665-2040 | 2019-12-17 |
| 1801360755 | Teresa Denise Piles-horton | Family Medicine | 77 Nealy Ave, Hampton, VA 23665-2040 | 2019-01-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982228938 | Mai Stern | Student in an Organized Health Care Education/Training Program | Langley Afb Dental Clinic, Hampton, VA 23665 | 2020-06-05 |
| 1386273449 | Nicholas Thomas Nelson | Military Health Care Provider | 633d Medical Group, 76 Nealy Ave, Building #92, Apo, AA 23665 | 2020-04-02 |
| 1316574809 | Kimberly C Easterling | Student in an Organized Health Care Education/Training Program | 76 Nealy Avenue, Joint Base Langley-eustis, Hampton, VA 23665 | 2020-03-24 |
| 1851950026 | Erin Leigh Baldridge | Dentist | Joint Base Langley Eustis Dental Clinic, 76 Nealy Ave, Apo, AA 23665 | 2019-06-11 |
| 1669950739 | Anthony Interrante IIi | Nurse Practitioner | Usaf Hospital Langley, 77 Nealy Avenue, Hampton, VA 23665 | 2018-08-01 |
| 1588189310 | Stacey Marie Jackson | Psychologist | 11 Nealy Blvd, Hampton, VA 23665 | 2017-08-14 |
| 1285062216 | Michael John Vietti | Physician Assistant | 633 Mdg 77 Nealy Ave, Yorktown, VA 23665 | 2013-10-30 |
| 1396182234 | Micaela Jane Dagucon | General Practice | 633d Mdg/sghc, 77 Nealy Avenue, Joint Base Langley-eustis, VA 23665 | 2013-06-02 |
| 1912212051 | Michele Leigh Shirley | Pharmacist | 633d Medical Group Hospital, 77 Nealy Avenue, Building 257, Joint Base Langley-eustis, VA 23665 | 2010-08-13 |
| 1497915219 | Stephen Warren Porter | Dentist | 76 Nealy Ave, 1st Dental Squadron/sgd, Langley Air Force Base, VA 23665 | 2008-06-16 |
| Find all providers in zip 23665 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366832602 | Pakesia Mcghee | Physician Assistant | 2031 Registry Pl, Hampton, GA 30228-6387 | 2015-01-26 |
| 1629265368 | Hannah Joy Lokenvitz | Physician Assistant | 700 2nd St Se Ste 101, Hampton, IA 50441-2655 | 2007-09-26 |
| 1881669182 | Ellen M Montgomery | Physician Assistant | 2304 W Mercury Blvd, Hampton, VA 23666-3115 | 2006-02-21 |
| 1902870074 | Diane I Schwartz | Physician Assistant | 450 Charlestown Rd, Hampton, NJ 08827-2535 | 2006-02-15 |
| 1659357739 | William Asbury Stephens II | Physician Assistant | 305 Elm St W, Hampton, SC 29924 | 2005-12-20 |
| 1851385512 | Susan Hathaway | Physician Assistant | 879 Lafayette Rd, Hampton, NH 03842 | 2005-09-08 |
| 1437767910 | Stanislav Kozlovski | Physician Assistant | 1058 Bear Creek Blvd, Hampton, GA 30228-1849 | 2020-07-21 |
| 1356895742 | Heather Lynne Mayer | Physician Assistant | 9 Manhattan Sq Ste A, Hampton, VA 23666-6262 | 2016-08-15 |
| 1629427588 | Mary Kathryn Winters | Physician Assistant | 3000 Coliseum Dr, Hampton, VA 23666-5963 | 2016-06-10 |
| 1205207362 | Latasha Shannon Butler | Physician Assistant | 2304 W Mercury Blvd, Hampton, VA 23666-3115 | 2015-10-15 |
| Find all providers in HAMPTON | ||||
Please comment or provide details below to improve the information on KYLE DAVID LONG.
| 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.