Kelly A Longstreet

NPI #1942345913 in Astoria, Oregon

Provider Information

NPI Number: 1942345913
Entity Type: Individual
Name: Kelly A Longstreet
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Feb 20, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: USCGC FIR (WLB 213) BASE TONGUE POINT
City: Astoria
State: Oregon
ZIP Code: 97103
Phone: (503) 325-1601

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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