Individual
KIMBERLY ANN LONGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
324 E ANTIETAM ST, HAGERSTOWN, MD 21740-5754
(240) 362-7128
(240) 362-7731
Mailing address
324 E ANTIETAM ST, HAGERSTOWN, MD 21740-5754
(240) 362-7128
(240) 362-7731
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R169573
MD
Other
Enumeration date
03/27/2022
Last updated
11/01/2023
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