Individual
KAITLYN LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15210 L P BAILEY MEMORIAL HWY, NATHALIE, VA 24577-3304
(434) 349-3113
(434) 349-2172
Mailing address
15210 L P BAILEY MEMORIAL HWY, NATHALIE, VA 24577-3304
(434) 349-3113
(434) 349-2172
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0024172460
VA
363LF0000X
Family Nurse Practitioner
Primary
0024172460
VA
Other
Enumeration date
05/07/2015
Last updated
10/12/2020
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