MEDICARE: KENDALL LONG PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363AM0700X	Medical Physician Assistant	MA059240	PA

General Provider Information

NPI Number	:	1396263752
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KENDALL LONG PA-C

Provider Business Mailing Address
First Line	:	5115 CENTRE AVE FL 3
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15232-1301
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5115 CENTRE AVE
Second Line	:	3RD FLOOR
City	:	PITTSBURGH
State	:	PA
Zip	:	15232-1301
Country	:	US
Telephone Number	:	412-647-2811
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/06/2017
Last Update Date	:	02/11/2026

Similar Medicare Providers

1962368134 — KAITLIN NICOLE WAITE PA-C
Practice Location Address:

5115 CENTRE AVE
PITTSBURGH, PA
15232-1301

Practice Phone: 412-647-2811
Practice Fax:

1942206867 — ALYSSA OWENS
Practice Location Address:

5115 CENTRE AVE , 3RD FLOOR
PITTSBURGH, PA
15232-1301

Practice Phone: 412-647-2811
Practice Fax:

1770566390 — DONALD WOYTOWITZ
Practice Location Address:

5115 CENTRE AVE , HILLMAN CANCER CENTER, 2ND FLOOR
PITTSBURGH, PA
15232-1301

Practice Phone: 412-235-1274
Practice Fax:

1669442638 — MOUNZER E AGHA M.D.
Practice Location Address:

5115 CENTRE AVE , 3RD FLOOR
PITTSBURGH, PA
15232-1301

Practice Phone: 412-235-1020
Practice Fax: 412-235-1030

1740250364 — MOLLY BRAFFET
Practice Location Address:

5115 CENTRE AVE , 3RD FLOOR
PITTSBURGH, PA
15232-1301

Practice Phone: 412-235-1020
Practice Fax:

1821068438 — NIKOL MARKS
Practice Location Address:

5115 CENTRE AVE , 3RD FLOOR
PITTSBURGH, PA
15232-1301

Practice Phone: 412-235-1020
Practice Fax:

Directions to “ KENDALL LONG PA-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.