Search › Mississippi › 207Q00000X
Kenneth Long, D.O
NPI 1346535390 · on the registry since 2011
Practice
- Address
- 5907 Highway 90
Moss Point, MS 39563 - Phone
- (228) 769-2611
- Organisation at this address
- Misissippi Providence Healthcare Services, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 10
Additional practice sites
- 128 Highland Pkwy Ste 200, Picayune, MS
- 128 Highland Pkwy Ste 200, Picayune, MS
- 2750 Gause Blvd E, Slidell, LA
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 207Q00000X
- Licence states on file
- LA, MS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-01-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi