Kyla Long

NPI #1063271583 in Mishawaka, Indiana

Provider Information

NPI Number: 1063271583
Entity Type: Individual
Name: Kyla Long
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Mar 18, 2024
Last Updated: Mar 18, 2024

Practice Location

Address: 611 E DOUGLAS RD STE 406
City: Mishawaka
State: Indiana
ZIP Code: 46545-1468
Phone: (574) 335-6514

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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