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Individual
DR. KATHLEEN A. LONG
Active
Individual
DR. KATHLEEN A. LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
038549
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000599981AD
—
GA
05
—
000599981AE
—
GA
05
—
00599981AB
—
GA
05
—
00599981D
—
GA
05
—
00599981F
—
GA
05
—
00599981G
—
GA
05
—
009932125
—
AL
01
—
0741780009
SUPPLIER NPI NUMBER (CANTON)
GA
01
—
1043215403
NPI NUMBER
GA
01
—
1801924857
SUPPLIER NPI NUMBER (JASPER)
GA
Enumeration date
06/14/2005
Last updated
04/17/2019
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