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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KATHLEEN LONG, PA-C

Active Sole Proprietor

KATHLEEN LONG, PA-C is a Physician Assistant healthcare provider located in WYANDOTTE, Michigan. NPI 1245961002 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · WYANDOTTE, MI

Registration Details

NPI Number
1245961002
Provider Type
Individual
Gender
Female
NPI Issued
Jun 22, 2022 (4.1294983954035 yrs)
Last Updated
Mar 7, 2025
License
5601011817 (MI)
Sole Proprietor
Yes

Practice Information

Address
2070 BIDDLE AVE STE 2
WYANDOTTE, MI, 481924080
Browse MI providers · Browse ZIP 48192
Phone
7342259100
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in WYANDOTTE, MI

Name Credential NPI
JESSICA J HOKE PA 1285679035
LEON R DEMERS PA 1598700973
NANCY M CAMPBELL PA 1134155054
MS. LISA MARIE BOUCHER PA-C 1679709463
DARREN ROCKEY 1235361361
PETER ANDREW SHANNON P.A. 1891081626
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.