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Kevin Long, L.M.P
NPI 1912096306 · on the registry since 2006
Practice
- Address
- 4902 Tacoma Mall Blvd
Tacoma, WA 98409 - Phone
- (253) 473-0300
- Fax
- (253) 473-0305
- Organisation at this address
- Rcc Ps
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 15
Registry record
- Primary taxonomy
- Specialist
174400000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-05-15
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