Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KATHRYN ELIZABETH LONG, M.D.
Active Sole ProprietorKATHRYN ELIZABETH LONG, M.D. is a Adolescent Medicine healthcare provider located in CHARLOTTE, North Carolina. NPI 1083623672 is currently active in the NPPES registry. Verify at CMS.
Adolescent Medicine · CHARLOTTE, NC
Registration Details
- NPI Number
- 1083623672
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 5, 2006 (20.044818210984 yrs)
- Last Updated
- Apr 20, 2017
- Licenses
-
200100065 (NC)200100065 (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1338 HUNDRED OAKS DRSUITE BCHARLOTTE, NC, 282174051Browse NC providers · Browse ZIP 28217
- Phone
- 7049102250
- Fax
- 7048178539
- Primary Specialty
-
Adolescent Medicine
207QA0505X
- Additional Specialty
- Adolescent Medicine
Other Adolescent Medicine Providers in CHARLOTTE, NC
| Name | Credential | NPI |
|---|---|---|
| KRISTI MARTIN | FNP-C | 1811572753 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.