Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KEITH LEONARD LONGUSKI, PA-C, ATC
Active Sole ProprietorMR. KEITH LEONARD LONGUSKI, PA-C, ATC is a Physician Assistant healthcare provider located in NAVY HILL, SAIPAN. NPI 1205091535 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · NAVY HILL, SAIPAN
Registration Details
- NPI Number
- 1205091535
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 25, 2008 (18.045659848061 yrs)
- Last Updated
- Aug 22, 2013
- License
-
24-00611 (KS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1 LOWER NAVY HILL ROADNAVY HILL, SAIPAN, 96950Browse SAIPAN providers · Browse ZIP 96950
- Phone
- 6702348950
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
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.