# KENT C LONG DC INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Long Chiropractic Office
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386771673
- **Authorized official:** DR. KENT CHARLES LONG D.C. (OWNER)
- **Authorized official phone:** (937) 278-7246

## Contact information

- **Practice address:** 4978 NORTHCUTT PL, DAYTON, OH 45414-3840
- **Practice address phone:** (937) 278-7246
- **Practice address fax:** (937) 278-5640
- **Mailing address:** 4978 NORTHCUTT PL, DAYTON, OH 45414-3840
- **Mailing address phone:** (937) 278-7246
- **Mailing address fax:** (937) 278-5640

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NR0400X | Rehabilitation Chiropractor | 1362 | OH | Yes |

## Other

- **Enumeration date:** 02/27/2007
- **Last updated:** 11/18/2009