Individual
MS. KRISTEN L. LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
143 HOSPITAL DR STE 201, STATE COLLEGE, PA 16803-5500
(814) 689-3140
(814) 234-0491
Mailing address
155 WELLNESS WAY, STATE COLLEGE, PA 16803-6702
(814) 231-7000
(814) 231-7098
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA054968
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA054968
PA LICENSE
PA
Enumeration date
07/01/2011
Last updated
08/19/2025
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