MS. Kellie Renee' Longenecker, PA-C

NPI #1851541593 in Arcadia, Florida

Provider Information

NPI Number: 1851541593
Entity Type: Individual
Name: MS. Kellie Renee' Longenecker, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Sep 30, 2008
Last Updated: Oct 4, 2021

Practice Location

Address: 901 N WALDRON ST.
City: Arcadia
State: Florida
ZIP Code: 34266-5011
Phone: (863) 303-4260

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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