Kathleen Ann Long, MD | |
800 Hospital Dr, Columbia, MO 65201-5275 | |
(573) 814-6000 | |
Not Available |
Full Name | Kathleen Ann Long |
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Gender | Female |
Speciality | Dermatology |
Location | 800 Hospital Dr, Columbia, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710367503 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207N00000X | Dermatology | 2019010679 (Missouri) | Primary |
Entity Name | The Curators Of The University Of Missouri |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235126921 PECOS PAC ID: 4486759560 Enrollment ID: O20070418000290 |
Mailing Address | Practice Location Address |
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Kathleen Ann Long, MD Po Box 843966, Kansas City, MO 64184-3966 Ph: (573) 884-3300 | Kathleen Ann Long, MD 800 Hospital Dr, Columbia, MO 65201-5275 Ph: (573) 814-6000 |
Dr. Andrew Michael Basnett, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 401 N Keene St, Columbia, MO 65201 Phone: 573-876-1616 | |
Dr. George Richard Nichols, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 303 N Keene St, Suite 201, Columbia, MO 65201 Phone: 573-876-1000 Fax: 573-442-7899 | |
Kari Lyn Martin, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4230 Philips Farm Rd, Columbia, MO 65201 Phone: 573-882-4800 Fax: 573-882-0723 | |
Dr. Ashley Miles Jenkins, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4230 Philips Farm Rd, Columbia, MO 65201 Phone: 573-882-4800 Fax: 573-884-0723 | |
Austin Taylor Greenwood, FNP Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4230 Philips Farm Rd, Columbia, MO 65201 Phone: 573-882-4800 Fax: 573-884-0723 | |
Emily Griffard Goeller, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4230 Philips Farm Rd, Columbia, MO 65201 Phone: 573-882-4800 Fax: 573-884-0723 | |
Kara M Braudis, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4230 Philips Farm Rd, Columbia, MO 65201 Phone: 573-882-4800 Fax: 573-884-0723 |