Kerry Long

Specialist · Jackson, MI

Individual Active NPI

NPI number 1114643178

Practice location

1203 1st St Ste 505
Jackson, MI 49203-3034
Phone
(517) 227-3700
Fax
(888) 323-2176

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NPI record

NPI
1114643178
Entity type
Individual (Type 1)
Enumeration date
October 12, 2022
Last updated
November 15, 2022
Certified
November 15, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Specialist Primary 174400000X — —
Military Health Care Provider 171000000X — —
Health & Wellness Coach 171400000X — —
Case Manager/Care Coordinator 171M00000X — —
Community Health Worker 172V00000X — —
Recreation Therapist 225800000X — —

About Kerry Long

Kerry Long is a healthcare provider registered in the NPI registry with the primary taxonomy Specialist (code 174400000X). The practice location is 1203 1st St Ste 505, Jackson, MI 49203-3034. The NPI number 1114643178 was assigned on October 12, 2022 and the record was last updated on November 15, 2022.

Frequently asked questions

What is the NPI number of Kerry Long?

The NPI number is 1114643178.

What is the phone number of Kerry Long?

The phone number listed for the practice location is (517) 227-3700.

Where is Kerry Long located?

1203 1st St Ste 505, Jackson, MI 49203-3034.

What is the taxonomy code for Kerry Long?

The primary taxonomy code is 174400000X – Specialist; 5 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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