Individual
KELLY A LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2130 SW 59TH ST, OKLAHOMA CITY, OK 73119-7025
(403) 303-7555
Mailing address
508 W VANDAMENT AVE STE 100, YUKON, OK 73099-4665
(405) 350-8100
(405) 350-3744
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
48313
OK
Other
Enumeration date
08/09/2010
Last updated
10/16/2025
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