Individual
MRS. KAYDEE MAE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3265 BIDDLE RD, MEDFORD, OR 97504-4122
(541) 816-4747
(541) 787-4011
Mailing address
3265 BIDDLE RD, MEDFORD, OR 97504-4122
(541) 816-4747
(541) 787-4011
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
016537
OR
Other
Enumeration date
07/19/2019
Last updated
07/19/2019
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