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Kathleen Long, MD
Emergency Medicine Physician in Mishawaka, Indiana
NPI 1154387132

Kathleen Long is a Emergency Medicine Physician based in Mishawaka, IN. Kathleen Long practices in Mishawaka, IN and has the professional credentials of MD. The NPI Number for Kathleen Long is 1154387132 and holds a License No. 01028072A (Indiana).

The current practice location address for Kathleen Long is 5215 Holy Cross Pkwy, Mishawaka, IN and can be reached out via phone at 574-335-5000.

Location: 5215 Holy Cross Pkwy, Mishawaka, IN, 46545-1469
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154387132
Provider Name
Kathleen Long
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
5215 Holy Cross Pkwy, Mishawaka, IN, 46545-1469
Phone Number
574-335-5000
Fax Number
Provider Enumeration Date
04/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100318630 05 IN
930101013 01 IN RAIL ROAD MEDICARE
000000181684 01 IN ANTHEM
104340083 05 MI
institution
Provider Business Practice Location Address Details
Address
5215 Holy Cross Pkwy
City
Mishawaka
State
Indiana
Zip
46545-1469
Phone Number
574-335-5000
Fax Number
person
Provider Business Mailing Address Details
Address
5215 Holy Cross Pkwy
City
Mishawaka
State
Indiana
Zip
46545-1469
Phone Number
574-335-5000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
207P00000X
License No.
01028072A (Indiana)
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
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