Individual
CESAR L ONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 ROSE ST, LEXINGTON, KY 40536
(859) 323-2222
(859) 323-5090
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
2013045372
MO
2085P0229X
Pediatric Radiology Physician
Primary
53496
KY
2085P0229X
Pediatric Radiology Physician
TP902
KY
2085R0202X
Diagnostic Radiology Physician
2013045372
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2654257
—
OH
Enumeration date
12/21/2006
Last updated
08/10/2021
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