Kyle Long, is a
Student In An Organized Health Care Education/training Program based in San Diego, California. Kyle Long is licensed to practice in * (Not Available) (license number ) and his current practice location is
330 Dickinson St, San Diego, California. He can be reached at his office (for appointments etc.) via phone at
(206) 518-8497.
NPI number for Kyle Long is 1396195582 and his current mailing address is 330 Dickinson St, San Diego, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1396195582.
Provider's Profile
| Full Name | Kyle Long |
|---|
| Gender | Male |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 330 Dickinson St, San Diego, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1396195582
- Provider Enumeration Date: 06/17/2016
- Last Update Date: 02/02/2021
Medical Identifiers
Medical identifiers for Kyle Long such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1396195582 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 95025605 (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kyle Long is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kyle Long,
330 Dickinson St,
San Diego, CA 92103-1913
Ph: (206) 518-8497 | Kyle Long,
330 Dickinson St,
San Diego, CA 92103-1913
Ph: (206) 518-8497 |
Reviews and Comments