Individual
KAITLYN ROSE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3302 NASH ST N, WILSON, NC 27896-1232
(252) 237-5237
Mailing address
359 NEUSE LANDING DR, CLAYTON, NC 27527-9050
(919) 827-6422
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/14/2022
Last updated
02/05/2024
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