Organization
MOBILE ALLERGY AND URGENT CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL LONG (APRN)
(720) 771-4015
Entity
Organization
Contact information
Practice address
3260 LEXINGTON RD, NICHOLASVILLE, KY 40356-9798
(720) 771-4015
Mailing address
3260 LEXINGTON RD, NICHOLASVILLE, KY 40356-9798
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
—
—
Other
Enumeration date
01/30/2020
Last updated
01/15/2021
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