Individual
KYLIE ANN LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
100 POWELL DR STE 1, DUNDEE, MI 48131-8645
(517) 266-1481
(517) 266-1530
Mailing address
100 POWELL DR STE 1, DUNDEE, MI 48131-8645
(517) 266-1481
(517) 266-1530
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
4704285821
MI
Other
Enumeration date
01/25/2021
Last updated
01/25/2021
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