SearchKentucky1223G0001X

Tanya Long, DMD

NPI 1689833998 · on the registry since 2008

Practice

Address
901 S 15th St
Louisville, KY 40210
Phone
(800) 787-2812
Fax
(877) 370-6515
Organisation at this address
On Demand Kare
Power Into Purpose Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Also registered as
122300000X
1223G0001X
Licence states on file
KY, IN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-10-19

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 Kentucky