Long, Kai Jeanine
Long, Kai Jeanine is an individual health care provider with primary practice located at 190 Southpark Blvd Suite 100, St Augustine FL 32086-4120. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Long, Kai Jeanine can be contacted via phone (904) 824-1478.Contact Information
Primary practice address
190 Southpark Blvd Suite 100
St Augustine FL 32086-4120
Phone: (904) 824-1478
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SA8605 | Florida |
Profile Details
NPI number | 1063552404 |
---|---|
LBN Legal business name | Long, Kai Jeanine |
Credentials | Master of Arts (MA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 7th, 2007 |
Last updated | May 1st, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1063552404 | NPPES |
Florida | MEDICAID | 891547400 |
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