Individual
DR. KENT CHARLES LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
4978 NORTHCUTT PL, DAYTON, OH 45414-3840
(937) 278-7246
(937) 278-5640
Mailing address
4978 NORTHCUTT PL, DAYTON, OH 45414-3840
(937) 278-7246
(937) 278-5640
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
1362
OH
Other
Enumeration date
01/18/2007
Last updated
11/18/2009
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