Individual
DR. KEVIN BRANDON LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12501 E MARGINAL WAY S STE 200, TUKWILA, WA 98168-5163
(206) 576-6050
(206) 215-5935
Mailing address
12501 E MARGINAL WAY S STE 200, TUKWILA, WA 98168-5163
(206) 576-6050
(206) 215-5935
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
79393
AZ
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD60145491
WA
Other
Enumeration date
11/16/2006
Last updated
02/26/2026
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