Long, Kenneth Alan
Long, Kenneth Alan is an individual health care provider with primary practice located at 16817 223Rd Ave E , Orting WA 98360-9120. He recently has only one registered license in Other Service Providers / Interpreter, which is considered as his primary health care specialty. Long, Kenneth Alan can be contacted via phone (360) 897-8300.Contact Information
Primary practice address
16817 223Rd Ave E
Orting WA 98360-9120
Phone: (360) 897-8300
Fax: (360) 897-8302
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Interpreter | 171R00000X | 602 876 041 | Washington |
Profile Details
| NPI number | 1598997207 |
|---|---|
| LBN Legal business name | Long, Kenneth Alan |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 13th, 2009 |
| Last updated | Aug 13th, 2009 - 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 | 1598997207 | NPPES |
| Washington | Other | 7144942 | WASHINGTON PROVIDER NUMBER |
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