Individual
PAIGE LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
780 ROSE ST, LEXINGTON, KY 40536-0001
(859) 432-9627
Mailing address
275 NEW TOWNE DR APT 323, BOWLING GREEN, KY 42103-7999
(859) 432-9627
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
KY
Other
Enumeration date
07/26/2024
Last updated
07/26/2024
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