MR. KENNETH LONG

Physician Assistant

Active Individual
NPI: 1982605911

Practice Address

1251 NE ELM ST
Prineville, OR 97754

Phone: (541) 447-1680

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X Yes PA00535 (OR)

Frequently Asked Questions

NPI 1982605911 is the National Provider Identifier for MR. KENNETH LONG, a Physician Assistant provider located in Prineville, OR. This NPI was enumerated on August 1, 2005.
MR. KENNETH LONG practices at 1251 NE ELM ST, Prineville, OR 97754.

Quick Facts

NPI
1982605911
Type
Individual
Enumerated
Aug 1, 2005
Last Updated
Jul 8, 2007

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