KELLY LYNN LONG

PLYMOUTH, MI
NPI1568623338
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: MI  5601003518)
Enumeration Date2008-06-24
Last Update Date2022-05-05
Business Address
KELLY LYNN LONG PA-C
500 ROSS ST
PLYMOUTH, MI 48170-2206
Phone number: 734-341-7767
Mailing Address
KELLY LYNN LONG PA-C
500 ROSS ST
PLYMOUTH, MI 48170-2206
Phone number: 734-341-7767
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