Organization
PAIN INSTITUTE, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KYLE M LONGO D.C. (OWNER)
(931) 905-1720
Entity
Organization
Contact information
Practice address
4972 BENCHMARK CENTRE DR, SWANSEA, IL 62226-2070
(931) 905-1720
(931) 905-1721
Mailing address
4972 BENCHMARK CENTRE, SWANSEA, IL 62226-2070
(931) 905-1720
(931) 905-1721
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
225100000X
Physical Therapist
—
—
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/15/2011
Last updated
08/01/2011
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