Individual
RYAN LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1101 VETERANS DR, LEXINGTON, KY 40502-2235
(859) 233-4511
Mailing address
2705 MILL WOOD CV, LEXINGTON, KY 40511-8863
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
7036
KY
Other
Enumeration date
10/04/2014
Last updated
01/26/2026
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