Individual provider · Type 1 NPI

Kerry Long

Specialist · Jackson, MI

NPI number 1114643178 Active

Practice location

1203 1st St Ste 505
Jackson, MI 49203-3034

Fax (888) 323-2176

Specialties and licenses

TaxonomyCodeLicense
Military Health Care Provider 171000000XNone listed
Health & Wellness Coach 171400000XNone listed
Case Manager/Care Coordinator 171M00000XNone listed
Community Health Worker 172V00000XNone listed
Recreation Therapist 225800000XNone listed
Specialist Primary 174400000XNone listed

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.

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About NPI 1114643178

Kerry Long's National Provider Identifier is 1114643178, issued on Oct 12, 2022. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Jackson, MI. The record was last updated on Nov 15, 2022.