Long, Kira N
Long, Kira N is an individual health care provider with primary practice located at 1225 Campbell Way Ste 101 , Bremerton WA 98310-2623. She recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as her primary health care specialty. Long, Kira N can be contacted via phone (360) 479-4203.Contact Information
Primary practice address
1225 Campbell Way Ste 101
Bremerton WA 98310-2623
Phone: (360) 479-4203
Fax: (360) 478-7240
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 036.139358 | Illinois |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | MD60844358 | Washington |
Profile Details
| NPI number | 1992022735 |
|---|---|
| LBN Legal business name | Long, Kira N |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 3rd, 2010 |
| Last updated | May 24th, 2021 - about 3 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 | 1992022735 | NPPES |
| Washington | MEDICAID | 1992022735 |
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