Kathryn Elizabeth Long
Family Doctor Family Doctor - Adult Medicine
1338 Hundred Oaks Dr Suite B
Charlotte
, North Carolina 28217-4051
Kathryn Elizabeth Long
Family Doctor Family Doctor - Adult Medicine
1338 Hundred Oaks Dr Suite B
Charlotte
, North Carolina 28217-4051
(704) 817-8539
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About
Features
Specialties
- Family Doctor
- Family Doctor - Adult Medicine
Languages spoken
- English
Location
First Address
- Kathryn Elizabeth Long
- 1827 Chestnut Ave
- Charlotte, NC
- Zip : 28205-3017
- Fax : (704) 817-8539
- Phone : (704) 910-2250
Second Address
- Kathryn Elizabeth Long
- 1338 Hundred Oaks Dr Suite B
- Charlotte, NC
- Zip : 28217-4051
- Fax : (704) 817-8539
- Phone : (704) 910-2250
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Q00000X | Family Doctor | 200100065 | NC |
| Y | 207QA0505X | Family Doctor - Adult Medicine | 200100065 | NC |
National Provider Identifier
| NPI | 1083623672 |
|---|---|
| Provider Name | Kathryn Elizabeth Long |
| First Address | Charlotte, NC 28205-3017 |
| Second Address | Charlotte, NC 28217-4051 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/08/2006 |
| Last Update Date | 20/04/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.