Individual
DR. KIRA N LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1225 CAMPBELL WAY STE 101, BREMERTON, WA 98310-2623
(360) 479-4203
(360) 478-7240
Mailing address
1225 CAMPBELL WAY STE 101, BREMERTON, WA 98310-2623
(360) 479-4203
(360) 478-7240
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
036.139358
IL
2086S0129X
Vascular Surgery Physician
Primary
MD60844358
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992022735
—
WA
Enumeration date
05/03/2010
Last updated
05/24/2021
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