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Contact Information

KEVIN L LONG, DC, DACRB, FMS, CSCS
3141 COLUMBIA AVE
LANCASTER, PA17603-4012
 Phone: 717-394-6558
 Fax: 717-394-6813
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
 

Occupational Health

111NX0100X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for KEVIN L LONG · (Male)

NPI Number 1114022100
Status Active
Credentials DC, DACRB, FMS, CSCS
Entity Individual
Enumeration date 09/14/2006
Last updated 05/26/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • PA License # DC006842-L
  • PA Other LO445351 HIGHMARK PROVIDER NUMBER
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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