Individual
MRS. MARIA KAY LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
400 TRACY WAY STE 100, CHARLESTON, WV 25311-1280
(304) 720-0205
(304) 720-0262
Mailing address
2 STONEWOOD RD, CROSS LANES, WV 25313-2300
(304) 982-3073
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
93949
WV
Other
Enumeration date
12/05/2022
Last updated
12/05/2022
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