Individual
KATHRYN ANN LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, L.AC
Contact information
Practice address
12760 LAKE BLVD, LINDSTROM, MN 55045-9342
(763) 310-4704
Mailing address
PO BOX 319, LINDSTROM, MN 55045-0319
(763) 310-4704
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R170102-3
MN
171100000X
Acupuncturist
Primary
1972
MN
Other
Enumeration date
08/11/2015
Last updated
03/30/2023
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