KENNETH W LONG

GULF BREEZE, FL
NPI1114971991
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: FL  ME77376)
Enumeration Date2006-05-19
Last Update Date2014-02-21
Business Address
Dr. KENNETH W LONG MD
1395 EL RITO DR
GULF BREEZE, FL 32563-6707
Phone number: 850-932-9251
Mailing Address
Dr. KENNETH W LONG MD
PO BOX 2699
PENSACOLA, FL 32513-2699
Phone number:
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