MR. KEVIN R LONG (NPI# 1912096306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912096306 |
| Entity Type | Individual |
| Full Name | MR. KEVIN R LONG |
| Credential | L.M.P. |
| Practice Address |
4902 Tacoma Mall Blvd Tacoma WA 98409-7149 |
| Mailing Address |
3217 Eastlake Ave E Apt 304 Seattle WA 98102-7124 |
| Practice Telephone | 2534730300 |
| Practice Fax Number | 2534730305 |
| Mailing Telephone | 2532240103 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2008-05-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MA00016150 | WA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114022100 | Kevin L. Long | Chiropractor | 3141 Columbia Ave, Lancaster, PA 17603-4012 | 2006-09-14 |
| 1992759740 | Kevin R. Long | Nurse Practitioner | 1824 King St Ste 300, Jacksonville, FL 32204 | 2006-05-19 |
| 1205440708 | Kevin Long | Physical Therapist | 1301 E Bidwell St Ste 201, Folsom, CA 95630-3565 | 2020-09-02 |
| 1497254494 | Kevin Long | Registered Nurse | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2018-02-05 |
| 1215164447 | Kevin Carl Long | Colon & Rectal Surgery | 100 North Academy Ave, Mc 21-69, Danville, PA 17822 | 2009-06-15 |
| 1689747776 | Kevin Brandon Long | Pathology | 1124 Columbia St, Suite 200, Seattle, WA 98104-2026 | 2006-11-16 |
| Street Address |
4902 TACOMA MALL BLVD |
| City | TACOMA |
| State | WA |
| Zip Code | 98409-7149 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932147998 | Rcc Ps | Chiropractor | 4902 Tacoma Mall Blvd, Tacoma, WA 98409-7149 | 2006-06-03 |
| 1316552367 | Veaceslav Beniamin Goras | Chiropractor | 4902 Tacoma Mall Blvd, Tacoma, WA 98409-7149 | 2020-09-15 |
| 1164913836 | Laurie N. Dille | Massage Therapist | 4902 Tacoma Mall Blvd, Tacoma, WA 98409-7149 | 2018-05-29 |
| 1740770981 | Michael J.a. Longo | Chiropractor | 4902 Tacoma Mall Blvd, Tacoma, WA 98409-7149 | 2018-05-14 |
| 1740725175 | Abbie T Gipson | Massage Therapist | 4902 Tacoma Mall Blvd, Tacoma, WA 98409-7149 | 2016-12-20 |
| 1356709562 | Taylor Sue Yohann | Massage Therapist | 4902 Tacoma Mall Blvd, Tacoma, WA 98409-7149 | 2016-02-02 |
| 1386968378 | Michelle Gonzales | Specialist | 4902 Tacoma Mall Blvd, Tacoma, WA 98409-7149 | 2010-03-18 |
| 1124358189 | Robert A. Brant | Chiropractor | 4902 Tacoma Mall Blvd, Tacoma, WA 98409-7149 | 2010-01-13 |
| 1285887257 | Stephanie Marie Guthrie | Massage Therapist | 4902 Tacoma Mall Blvd, Tacoma, WA 98409-7149 | 2008-11-03 |
| 1750482683 | Nicole L Long | Chiropractor | 4902 Tacoma Mall Blvd, Tacoma, WA 98409-7149 | 2006-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053942805 | Terah Jo Barker | Behavior Technician | 4301 South Pine St., Suite 505, Tacoma, WA 98409 | 2020-01-30 |
| 1427526797 | Carrissa Bentley | Social Worker | 3901 S. Fife Street, Tacoma, WA 98409 | 2018-11-05 |
| 1396255972 | Julie Ann Sunada | Nurse Practitioner | 2505 S 38th St Ste 109, Tacoma, WA 98409 | 2017-10-09 |
| 1306389820 | Laura Town | Chiropractor | 3640 S Cedar St, Ste P, Tacoma, WA 98409 | 2016-12-01 |
| 1114476082 | Chelsea Marie Jensen | Massage Therapist | 701 Commerce Street Apartment 307, Tacoma, WA 98409 | 2016-10-03 |
| 1831574730 | Artika Naidu | Optometrist | 4502 South Steele #700, Located Inside Macy's Lenscrafters, Tacoma, WA 98409 | 2015-07-22 |
| 1972918399 | Tacoma Dental and Implant Center Ps | Clinic/Center | 4704 South Oakes St #103, Tacoma, WA 98409 | 2014-06-24 |
| 1457795957 | Ana Amparo Penas Vasquez | Clinical Nurse Specialist | 2505 South 38th St, Bldg A Suite 109, Tacoma, WA 98409 | 2013-04-26 |
| 1033452156 | Richard William Solitaire | Counselor | 4301 S. Pine St., 30-19, Tacoma, WA 98409 | 2013-03-27 |
| 1790042810 | Tara Kerin Garland | Counselor | 5921 S. Verde St., Tacoma, WA 98409 | 2012-04-13 |
| Find all providers in zip 98409 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568911196 | Sheila Strecker | Specialist | 3518 6th Ave Ste 200, Tacoma, WA 98406-5419 | 2016-09-23 |
| 1356898530 | Nikita D Schipper | Specialist | 504 Garfield St S, Tacoma, WA 98444-3628 | 2016-09-06 |
| 1437513637 | Bridgette Burdyshaw | Specialist | 438 E 60th St, Tacoma, WA 98404-1926 | 2016-04-13 |
| 1326408410 | Kristina Baker | Specialist | 1310 S Union Ave Ste A202, Tacoma, WA 98405-1907 | 2016-03-02 |
| 1598130130 | Bethany Joy Gehrke | Specialist | 1601 N 8th St, Tacoma, WA 98403-1013 | 2015-12-08 |
| 1346613791 | Angela Jane King | Specialist | 913 N Frace St, Tacoma, WA 98406-2121 | 2015-11-06 |
| 1518364140 | Maria Margarita Celis | Specialist | 1011 S M St, Tacoma, WA 98405-3653 | 2014-11-25 |
| 1497151419 | Kaelyn Heath | Specialist | 6502 19th St Ne, Tacoma, WA 98422-3701 | 2014-11-18 |
| 1104220565 | Kehau Tester | Specialist | 9020 A Street, Tacoma, WA 98444 | 2014-10-14 |
| 1265841175 | Valentine Yoga Therapy, LLC | Specialist | 420 S 35th St, Tacoma, WA 98418-6822 | 2014-08-05 |
| Find all providers in TACOMA | ||||
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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.