Individual
DR. KRISTIN LEIGH LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
600 HIGHLAND AVE, MADISON, WI 53792-0001
(608) 263-7502
(608) 263-7652
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
(608) 263-7502
(608) 263-7652
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
66041-20
WI
208600000X
Surgery Physician
Q4456
TX
208600000X
Surgery Physician
R2050
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
348217601 (MDACC)
—
TX
Enumeration date
05/07/2009
Last updated
01/25/2021
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