Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KENNETH D LONG
ActiveMR. KENNETH D LONG is a Physician Assistant healthcare provider located in PRINEVILLE, Oregon. NPI 1982605911 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · PRINEVILLE, OR
Registration Details
- NPI Number
- 1982605911
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 1, 2005 (21.015685558656 yrs)
- Last Updated
- Jul 8, 2007
- License
-
PA00535 (OR)
Practice Information
- Address
-
1251 NE ELM STPRINEVILLE, OR, 97754Browse OR providers · Browse ZIP 97754
- Phone
- 5414471680
- Fax
- 5414474670
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in PRINEVILLE, OR
| Name | Credential | NPI |
|---|---|---|
| SHANNON K BRASHER | PA-C | 1255547287 |
| MS. ROBERTA G BELICH | PA-C | 1871877506 |
| AMANPREET KAUR | PA | 1225659063 |
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.