Individual
KRISTEN LESLIE LONGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
8207 MARKET ST, SUITE D, WILMINGTON, NC 28411-8889
(910) 686-6508
(910) 686-8416
Mailing address
8207 MARKET ST, SUITE D, WILMINGTON, NC 28411-8889
(910) 686-6508
(910) 686-8416
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2791
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085H0
BLUE CROSS BLUE SHIELD
NC
01
—
662946
ACN
NC
Enumeration date
10/27/2006
Last updated
07/08/2007
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