Individual
JAMES H LONG JR.
Active
Individual
JAMES H LONG JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25388
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64253883
—
KY
01
—
K232360
MEDICARE PTAN
KY
Enumeration date
11/08/2006
Last updated
03/01/2019
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