Organization
LONG AND ASSOCIATES PAIN THERAPY INC
Active
Other names
KC CORE
Organization subpart
No
Provider details
NPI number
Authorized official
KIANA D LONG D.O. (OWNER)
(816) 795-5300
Entity
Organization
Contact information
Practice address
19550 E 39TH ST S, SUITE 235, INDEPENDENCE, MO 64057-2358
(816) 795-5300
(816) 795-5305
Mailing address
19550 E 39TH ST S, SUITE 235, INDEPENDENCE, MO 64057-2358
(816) 795-5300
(816) 795-5305
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
2010000750
MO
Other
Enumeration date
09/07/2016
Last updated
09/07/2016
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