Individual
MR. ROY L LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1112 S MAIN ST, FRANKLIN, KY 42134-2322
(270) 598-9595
(270) 598-9590
Mailing address
201 PARK ST, BOWLING GREEN, KY 42101-1708
(270) 781-5111
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3001989
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78003092
—
KY
Enumeration date
01/26/2006
Last updated
03/09/2020
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