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Herbert W Long
Rural Health Clinic/Center in Irvine, Kentucky
NPI 1770705873

Herbert W Long is a Rural Health Clinic/Center based in Irvine, KY and is specialized in Rural Health. Herbert W Long practices in Irvine, KY. The NPI Number for Herbert W Long is 1770705873 and holds a License No. 31482 (Kentucky).

The current practice location address for Herbert W Long is 417 River Drive, Irvine, KY and can be reached out via phone at 606-723-0399 and via fax at 606-723-0379.

Location: 417 River Drive, Irvine, KY, 40336
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1770705873
Provider Name
Herbert W Long
Credential
Provider Entity Type
Organization
Address
417 River Drive, Irvine, KY, 40336
Phone Number
606-723-0399
Fax Number
606-723-0379
Provider Enumeration Date
05/02/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
35001262 05 KY
31482 01 KY LICENSE
institution
Provider Business Practice Location Address Details
Address
417 River Drive
City
Irvine
State
Kentucky
Zip
40336
Phone Number
606-723-0399
Fax Number
606-723-0379
person
Provider Business Mailing Address Details
Address
417 River Drive
City
Irvine
State
Kentucky
Zip
40336
Phone Number
606-723-0399
Fax Number
606-723-0379
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
261QR1300X
License No.
31482 (Kentucky)
Definition
Definition to come...
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