SearchKansas103TC1900X

Larry Long, PHD

NPI 1346313061 · on the registry since 2006 · sole proprietor

Practice

Address
2904 West 72 Street
Prairie Village, KS 66208
Phone
(913) 442-7613
Fax
(913) 442-7613

Registry record

Primary taxonomy
103TC1900X
103TC1900X
Also registered as
103TC1900X
103TC1900X
Licence states on file
KS, MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-11-18

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 Kansas