Individual provider · Type 1 NPI

Kevin R. Long, L.M.P.

Specialist · Tacoma, WA

NPI number 1912096306 Active

Practice location

4902 Tacoma Mall Blvd
Tacoma, WA 98409-7149

Call (253) 473-0300 Map

Fax (253) 473-0305

Mailing address

3217 Eastlake Ave E Apt 304
Seattle, WA 98102-7124

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XMA00016150 (WA)

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 1912096306

Kevin R. Long, L.M.P.'s National Provider Identifier is 1912096306, issued on Oct 12, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Tacoma, WA. The record was last updated on May 15, 2008.