Individual provider · Type 1 NPI

Kathleen Long, PA-C

Physician Assistant · Wyandotte, MI

NPI number 1245961002 Active

Practice location

2070 Biddle Ave Ste 2
Wyandotte, MI 48192-4080

Call (734) 225-9100 Map

Mailing address

1 Ford Pl Ste 3A
Detroit, MI 48202-3450

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X5601011817 (MI)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1245961002

Kathleen Long, PA-C's National Provider Identifier is 1245961002, issued on Jun 22, 2022. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Wyandotte, MI. The record was last updated on Mar 7, 2025.