Search › Virginia › 314000000X

Katherine Long

NPI 1265882229 · on the registry since 2016 · sole proprietor

Practice

Address
7600 Autumn Park Way
Mechanicsville, VA 23116
Phone
(804) 730-0009
Organisation at this address
Sri Sai Raj,Llc
Autumn Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address
29

Registry record

Primary taxonomy
314000000X
314000000X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-06-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia