Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KYLE DOUGLAS LONG, DO
Active Sole ProprietorKYLE DOUGLAS LONG, DO is a General Practice healthcare provider located in JACKSONVILLE, Florida. NPI 1508451428 is currently active in the NPPES registry. Verify at CMS.
General Practice · JACKSONVILLE, FL
Registration Details
- NPI Number
- 1508451428
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 3, 2021 (5.4276631044742 yrs)
- Last Updated
- Mar 24, 2024
- License
-
0102207472 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2080 CHILD ST DEPT 5000JACKSONVILLE, FL, 322142575Browse FL providers · Browse ZIP 32214
- Phone
- 9045427300
- Primary Specialty
-
General Practice
208D00000X
Other General Practice Providers in JACKSONVILLE, FL
| Name | Credential | NPI |
|---|---|---|
| DR. ALEXA MILAGROS WU CHAVEZ | MD | 1457334757 |
| DR. WILLIAM WESSON NIELDS | M.D. | 1972587848 |
| LEONARD JOEL SPILLERT | M.D. | 1326007139 |
| DR. LEIAH ANFINSON | M.D. | 1225097520 |
| DR. MARK ANTHONY SMITH | M.D. | 1871558114 |
| RALPH BADANOWSKI | MD | 1205894508 |
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.