DR. Kenneth Michael Long, D.O.

NPI #1346535390 in Moss Point, Mississippi

Provider Information

NPI Number: 1346535390
Entity Type: Individual
Name: DR. Kenneth Michael Long, D.O.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: D.O.
Enumeration Date: Jun 17, 2011
Last Updated: Jan 26, 2021

Practice Location

Address: 5907 HIGHWAY 90
City: Moss Point
State: Mississippi
ZIP Code: 39563-6536
Phone: (228) 769-2611

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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