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NPI Profile for KERRY LONG in JACKSON, MI.
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Specialist |
174400000X | |||
Case Manager/Care Coordinator |
171M00000X | |||
Community Health Worker |
172V00000X | |||
Health & Wellness Coach |
171400000X | |||
Military Health Care Provider |
171000000X | |||
Recreation Therapist |
225800000X |
| NPI Number | 1114643178 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 10/12/2022 | |
| Last updated | 11/15/2022 - About 4 years ago | |
| Sole proprietor 1 | No | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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KERRY LONG
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KERRY LONG