KYLE DAVID LONG

NORFOLK, VA
NPI1144781576
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: VA  0110006758)
Additional Taxonomies363A00000X Physician Assistant
(Licence: VA  0110006768)
Enumeration Date2019-03-28
Last Update Date2022-06-14
Business Address
KYLE DAVID LONG PA-C
825 FAIRFAX AVE UNIT 310
NORFOLK, VA 23507-1914
Phone number: 757-238-4497
Mailing Address
KYLE DAVID LONG PA-C
4701 LAKE SHORE DR
CHESAPEAKE, VA 23321-1383
Phone number: 757-803-4806