Individual
MR. MIKE DENNIS LONG
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.ED., ATC, CSCS
Contact information
Practice address
500 CLINIC DR, TROVER FOUNDATION SPORTS MEDICINE, HOPKINSVILLE, KY 42240-4991
(270) 707-3387
(270) 707-3361
Mailing address
500 CLINIC DR, TROVER FOUNDATION SPORTS MEDICINE, HOPKINSVILLE, KY 42240-4991
(270) 707-3387
(270) 707-3361
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT357
KY
Other
Enumeration date
04/20/2006
Last updated
07/08/2007
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