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1215164447
KEVIN CARL LONG
DANVILLE, PA
NPI
1215164447
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208C00000X Colon & Rectal Surgery
(Licence: PA MD455224)
Enumeration Date
2009-06-15
Last Update Date
2020-08-31
Business Address
KEVIN CARL LONG MD
100 NORTH ACADEMY AVE MC 21-69
DANVILLE, PA 17822
Phone number: 570-271-6361
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Mailing Address
KEVIN CARL LONG MD
100 N ACADEMY AVE
DANVILLE, PA 17822-4903
Phone number: 570-271-6144
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