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Kelly Long, PA-C
NPI 1568623338 · on the registry since 2008 · sole proprietor
Practice
- Address
- 500 Ross St
Plymouth, MI 48170 - Phone
- (734) 341-7767
- Fax
- (734) 893-3131
- Organisation at this address
- Michigan Infusion And Licensed Healthcare
Michigan Infusion Services And Licensed HealthcareInferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Medical Physician Assistant
363AM0700X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-05-05
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 Michigan