Kerry Long

NPI #1114643178 in Jackson, Michigan

Provider Information

NPI Number: 1114643178
Entity Type: Individual
Name: Kerry Long
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Oct 12, 2022
Last Updated: Nov 15, 2022

Practice Location

Address: 1203 1ST ST STE 505
City: Jackson
State: Michigan
ZIP Code: 49203-3034
Phone: (517) 227-3700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Military Health Care Provider	171000000X
Health & Wellness Coach	171400000X
Case Manager/Care Coordinator	171M00000X
Community Health Worker	172V00000X
Recreation Therapist	225800000X
Specialist	174400000X	Primary

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