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Contact Information

KATHLEEN L LONG, MD
1235 OSOS ST
SUITE 100
SAN LUIS OBISPO, CA93401-3600
 Phone: 805-549-0888
 Fax: 805-549-8463
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adolescent Medicine

2080A0000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for KATHLEEN L LONG · (Female)

NPI Number 1033177449
Status Active
Credentials MD
Entity Individual
Enumeration date 05/03/2006
Last updated 03/14/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A23162
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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