MRS. Kisha Renea Long, PA-C

NPI #1992943021 in Plano, Texas

Provider Information

NPI Number: 1992943021
Entity Type: Individual
Name: MRS. Kisha Renea Long, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jan 28, 2009
Last Updated: Jan 28, 2009

Practice Location

Address: 6309 PRESTON RD
Address 2: SUITE #1400
City: Plano
State: Texas
ZIP Code: 75024-2738
Phone: (972) 312-0216

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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