Individual provider · Type 1 NPI
Kelly Lynn Long, PA-C
Medical Physician Assistant · Plymouth, MI
NPI number
1568623338
Active
Practice location
500 Ross St
Plymouth, MI 48170-2206
Fax (734) 893-3131
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 5601003518 (MI) |
Medical Physician Assistant: Definition to come...
2 other providers at this address
Other medical physician assistant providers in Plymouth
- Nathaniel LambieMedical Physician Assistant Plymouth, MI NPI 1174092662
- Elizabeth Ashley Kozak, PA-CMedical Physician Assistant Plymouth, MI NPI 1194004523
- Sarah Savaya, PA-CMedical Physician Assistant Plymouth, MI NPI 1215825039
- Heather Johnson, P.A.Medical Physician Assistant Plymouth, MI NPI 1366656449
- Chloe Boutton, PA-CMedical Physician Assistant Plymouth, MI NPI 1407636830
- Kenneth Joseph Ruemenapp, PA-CMedical Physician Assistant Plymouth, MI NPI 1780754978
- Victoria Stark, PA-CMedical Physician Assistant Plymouth, MI NPI 1902371735
About NPI 1568623338
Kelly Lynn Long, PA-C's National Provider Identifier is 1568623338, issued on Jun 24, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Plymouth, MI. The record was last updated on May 5, 2022.