Kenneth L. Long, M.d., P.a.
NPI #1619240868 in San Marcos, Texas
Provider Information
- NPI Number
- 1619240868
- Entity Type
- Organization
- Organization Name
- Kenneth L. Long, M.d., P.a.
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Feb 20, 2012
- Last Updated
- Feb 20, 2012
Practice Location
- Address
- 1305 WONDER WORLD DR
- Address 2
- SUITE 301
- City
- San Marcos
- State
- Texas
- ZIP Code
- 78666-7546
- Phone
- (512) 392-6081
Authorized Official
- Name
- DR. KENNETH L LONG, M.D.
- Title
- PRESIDENT
- Phone
- (512) 392-6081
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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