MS. KELLY PATRICIA LONG


Address: 900 E 13th St, Suite 101, Grove, OK 74344-2975
Phone: 9187869900

MS. KELLY PATRICIA LONG (NPI# 1447551817) 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) 1447551817
Entity Type Individual
Full Name MS. KELLY PATRICIA LONG
Credential APRN, CPNP
Practice Address 900 E 13th St
Suite 101
Grove
OK 74344-2975
Mailing Address 5300 N Independence Ave
280
Oklahoma City
OK 73112-5556
Practice Telephone 9187869900
Practice Fax Number 9187869904
Mailing Telephone 9187869900
Mailing Fax Number 9187869904
Enumeration Date 2010-11-16
Last Update Date 2017-04-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
61374 OK Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
OK 200311440A 05
OK 200505990H 05

Other Providers KELLY LONG

NPI Name Taxonomy Address Enumeration
1013551894 Kelly Denise Long Physical Therapist 6410 Diamond Rock Dr, Katy, TX 77449-4241 2019-11-04
1316319148 Kelly Long Occupational Therapist 1906 Kenwood Ave, Charlotte, NC 28205-3646 2015-10-20
1013189703 Kelly Elizabeth Long Counselor 115 W 5th, Emporia, KS 66801 2008-04-02
1720649676 Kelly Long Licensed Vocational Nurse 2180 Valley Blvd, Pomona, CA 91768-3325 2019-06-21
1366949539 Kelly Mckinley Long Student in an Organized Health Care Education/Training Program 477 Cooper Rd Ste 300, Westerville, OH 43081-8057 2018-04-12
1871808303 Kelly A Long Nurse Practitioner 1025 Straka Ter, Oklahoma City, OK 73139-2544 2010-08-09
1447408133 Kelly Long Counselor 615 Shipyard Blvd, Wilmington, NC 28412 2008-09-05
1568623338 Kelly Lynn Long Physician Assistant 10909 Hannan Rd, Romulus, MI 48174-1383 2008-06-24
1457564726 Kelly Long Counselor 15303 St. Rt 170, East Liverpool, OH 43920-9216 2007-05-07
1457438905 Kelly Ann Long Audiologist 15 Exchange Dr, Lugoff, SC 29078-9198 2006-11-01

Office Location

Street Address 900 E 13TH ST
SUITE 101
City GROVE
State OK
Zip Code 74344-2975

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063411536 Paul Edward Callicoat Jr. Internal Medicine 900 E 13th St, Suite 200, Grove, OK 74344-2975 2005-07-18
1083049001 Osu Center for Health Sciences Clinic/Center 900 E 13th St, Suite 201, Grove, OK 74344-2976 2013-09-10
1639511157 Tessa Lynn Longan Nurse Practitioner 900 E 13th St, Suite 205, Grove, OK 74344-2975 2013-07-25
1326304643 Ashley Shelley Obstetrics & Gynecology 900 E 13th St, Suite 205, Grove, OK 74344-2975 2012-04-11
1598904526 Kioumars (none) Zarintash Family Medicine 900 E 13th St, 104, Grove, OK 74344-2975 2009-02-15
1851555239 Tyson Richard Trimble Orthopaedic Surgery 900 E 13th St, Suite 104, Grove, OK 74344-2975 2008-07-15
1316092182 Renee J Russell Md Inc Family Medicine 900 E 13th St, Suite 104, Grove, OK 74344-2975 2007-01-24
1619041720 Osu Center for Health Sciences Clinic/Center 900 E 13th St, Suite 201, Grove, OK 74344-2975 2006-11-20
1124030002 James B Chapman Internal Medicine 900 E 13th St, Suite 200, Grove, OK 74344-2975 2006-08-12
1326067174 Douglas Allen Ohlstrom Surgery 900 E 13th St, Suite 102, Grove, OK 74344-2975 2006-07-19
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1326604935 Deborah Stauss Massage Therapist 2086 S Main St, Grove, OK 74344 2019-05-20
1841776705 Progressive Orthotic & Prosthetic Services, Inc Prosthetic/Orthotic Supplier 10 E 6th St., Grove, OK 74344 2018-07-13
1205329232 Andra Renee Mitchell Speech-Language Pathologist 825 E Third Street, Grove, OK 74344 2018-06-13
1861996217 Jenniffer Colleen Clark I Case Manager/Care Coordinator 1115 Har-ber Rd, Grove, OK 74344 2018-03-21
1417458167 Jason S Beckham Case Manager/Care Coordinator 32600 S. 625 Road, Grove, OK 74344 2018-02-27
1659872034 Keli Elaine Whitlock Peer Specialist 5602 Us Hwy 59, Grove, OK 74344 2018-02-22
1851899454 Nichole Marie Wooton Case Manager/Care Coordinator 1115 Har-ber Road, Grove, OK 74344 2018-01-29
1043766645 Samantha Lane Speech-Language Pathologist 1046 Hillside Road, Grove, OK 74344 2016-09-01
1376927509 Matthew Kyle Allen Physical Therapy Assistant 4621 Hwy 59 N, Grove, OK 74344 2015-07-17
1477807428 Andrew Scott Littlejohn Physical Therapy Assistant 103 Harber Road, Grove, OK 74344 2012-10-30
Find all providers in zip 74344

Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1396383378 Lindsey Lauren Givens Nurse Practitioner 17513 Aragon Ln, Oklahoma City, OK 73170-9209 2019-12-20
1801453493 Anna Pauline Reed Nurse Practitioner 110 Nw 31st St, Suite 201, Lawton, OK 73505-6100 2019-05-20
1639631781 April Keith Nurse Practitioner 11204 Katie Beth Cir, Oklahoma City, OK 73170-8403 2019-04-05
1861950735 Michelle Kathleen Spehr Nurse Practitioner 3231 Healthplex Dr., Norman, OK 73072 2019-03-08
1740756840 Darshi Wickrama Edirisooriya Nurse Practitioner 1001 N Florence Ave, Claremore, OK 74017-6207 2018-10-17
1922518232 Bryan Marshall Tison Nurse Practitioner 2000 E 15th St Ste 400a, Edmond, OK 73013-6673 2017-10-02
1326566001 Minor Pediatrics Kristie Minor Aprn-cnp Pllc Nurse Practitioner 29334 N 3950 Rd, Ochelata, OK 74051-2485 2017-09-01
1235667833 Bobbie Renee Stamps Nurse Practitioner 18216 S 410 Rd, Hulbert, OK 74441-1832 2017-05-25
1467984781 Lauryn Kathleen Trepp Nurse Practitioner 2800 W 91st St, Tulsa, OK 74132-3510 2017-03-28
1760922678 Carissa Declerck Nurse Practitioner 1200 Childrens Ave Ste 2f, Oklahoma City, OK 73104-4637 2017-02-27
Find all providers with the same taxonomy

Competitor

Search similar providers

City GROVE
Zip Code 74344

Improve Information

Please comment or provide details below to improve the information on MS. KELLY PATRICIA LONG.

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.

Trending Searches