KATHERINE KAY LONG

PORTAGE, IN
NPI1710640008
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IN  71011703A)
Enumeration Date2021-10-14
Last Update Date2021-10-14
Business Address
KATHERINE KAY LONG
6050 STERLING CREEK RD
PORTAGE, IN 46368-7752
Phone number: 219-763-8112
Mailing Address
KATHERINE KAY LONG
6050 STERLING CREEK RD
PORTAGE, IN 46368-7752
Phone number:
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