Individual provider · Type 1 NPI
Kathryn Elizabeth Long, MD
Adult Medicine Physician · Charlotte, NC
NPI number
1083623672
Active
Practice location
1338 Hundred Oaks Dr, Suite B
Charlotte, NC 28217-4051
Fax (704) 817-8539
Mailing address
1827 Chestnut Ave
Charlotte, NC 28205-3017
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | 200100065 (NC) |
| Adult Medicine Physician Primary | 207QA0505X | 200100065 (NC) |
Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.
Another provider at this address
Other adult medicine physician providers in Charlotte
About NPI 1083623672
Kathryn Elizabeth Long, MD's National Provider Identifier is 1083623672, issued on Aug 5, 2006. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Charlotte, NC. The record was last updated on Apr 20, 2017.