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Individual

KIANA LONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
191 IOWA BLVD, WRIGHT MEMORIAL HOSPITAL, TRENTON, MO 64683-8343
(660) 358-5700
Mailing address
1109 SE MERIDIAN DR, LEES SUMMIT, MO 64081-3149
(925) 354-6074

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20100000750
MO

Other

Enumeration date
04/09/2008
Last updated
10/23/2019
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