Individual provider · Type 1 NPI

Kathleen L. Long, MD

Pediatric Adolescent Medicine Physician · San Luis Obispo, CA

NPI number 1033177449 Active

Practice location

1235 Osos St, Suite 100
San Luis Obispo, CA 93401-3600

Fax (805) 549-8463

Specialties and licenses

TaxonomyCodeLicense
Pediatric Adolescent Medicine Physician Primary 2080A0000XA23162 (CA)

Pediatric Adolescent Medicine Physician: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

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About NPI 1033177449

Kathleen L. Long, MD's National Provider Identifier is 1033177449, issued on May 3, 2006. The primary taxonomy on file is Pediatric Adolescent Medicine Physician (2080A0000X), and the practice location is in San Luis Obispo, CA. The record was last updated on Mar 14, 2008.