Kenneth Long

NPI #1285337212 in Lima, Ohio

Provider Information

NPI Number: 1285337212
Entity Type: Individual
Name: Kenneth Long
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Case Manager/Care Coordinator
Enumeration Date: Mar 27, 2023
Last Updated: Mar 27, 2023

Practice Location

Address: 311 E MARKET ST STE 3
City: Lima
State: Ohio
ZIP Code: 45801-4535
Phone: (419) 222-4474

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X	Primary

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