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NPI Code Detail

MEDICARE: KENDALL LONG

MEDICARE: KENDALL LONG
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
1363LF0000XFamily Nurse PractitionerF03260154NC

General Provider Information

NPI Number : 1497602916
Entity Type Code : Individual
Provider Name (Legal Business Name) : KENDALL LONG
Provider Business Mailing Address
First Line : 90 E MAIN ST STE 2
Second Line :
City : SYLVA
State : NC
Zip : 28779-3030
Country : US
Telephone Number : 828-377-1114
Fax Number :
Provider Business Practice Location Address
First Line : 90 E MAIN ST STE 2
Second Line :
City : SYLVA
State : NC
Zip : 28779-3030
Country : US
Telephone Number : 828-377-1114
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/13/2026
Last Update Date : 03/13/2026

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Directions to “ KENDALL LONG ” Practice Location

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