Search › Washington › 171R00000X
Kenneth Long
NPI 1598997207 · on the registry since 2009
Practice
- Address
- 16817 223rd Ave E
Orting, WA 98360 - Phone
- (360) 897-8300
- Fax
- (360) 897-8302
Registry record
- Primary taxonomy
- 171R00000X
171R00000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-08-13
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 Washington