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
| Taxonomy | Code | License |
|---|---|---|
| Military Health Care Provider | 171000000X | None listed |
| Health & Wellness Coach | 171400000X | None listed |
| Case Manager/Care Coordinator | 171M00000X | None listed |
| Community Health Worker | 172V00000X | None listed |
| Recreation Therapist | 225800000X | None listed |
| Specialist Primary | 174400000X | None 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.
Other specialist providers in Jackson
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.