Individual
KAY LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3884 ELMORE AVE, DAVENPORT, IA 52807-2582
(563) 388-0965
Mailing address
22830 279TH AVE, LE CLAIRE, IA 52753-9790
(563) 210-5416
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
1029
IA
Other
Enumeration date
03/20/2020
Last updated
03/20/2020
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