person
Mr. Kevin R Long, LMP
Specialist in Tacoma, Washington
NPI 1912096306

Kevin R Long is a Specialist based in Seattle, WA. Kevin R Long practices in Tacoma, WA and has the professional credentials of LMP. The NPI Number for Kevin R Long is 1912096306 and holds a License No. MA00016150 (Washington).

The current practice location address for Kevin R Long is 4902 Tacoma Mall Blvd, Tacoma, WA and can be reached out via phone at 253-473-0300 and via fax at 253-473-0305.

Location: 4902 Tacoma Mall Blvd, Tacoma, WA, 98102-7124
person
Provider Profile Details
NPI Number
1912096306
Provider Name
Kevin R Long
Credential
LMP
Provider Entity Type
Individual
Gender
Male
Address
4902 Tacoma Mall Blvd, Tacoma, WA, 98102-7124
Phone Number
253-473-0300
Fax Number
253-473-0305
Provider Enumeration Date
10/12/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
4902 Tacoma Mall Blvd
City
State
Zip
98409-7149
Phone Number
253-473-0300
Fax Number
253-473-0305
person
Provider Business Mailing Address Details
Address
4902 Tacoma Mall Blvd
City
State
Zip
98409-7149
Phone Number
253-473-0300
Fax Number
253-473-0305
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
MA00016150 (Washington)
Definition
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.
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