DR. Kenneth W Long, MD

NPI #1114971991 in Gulf Breeze, Florida

Provider Information

NPI Number
1114971991
Entity Type
Individual
Name
DR. Kenneth W Long, MD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Family Medicine
Credential
MD
Enumeration Date
May 19, 2006
Last Updated
Feb 21, 2014

Practice Location

Address
1395 EL RITO DR
State
Florida
ZIP Code
32563-6707
Phone
(850) 932-9251

Specialties & Taxonomy Codes

Specialty
Family Medicine

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