Kathryn Elizabeth Long, M.D.

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

200100065 Issued in NC

Practice address

1338 Hundred Oaks Dr
Suite B
Charlotte, NC 28217-4051

Phone

(704) 910-2250

Fax

(704) 817-8539

NPI assigned

Aug 5, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492646400000",
    "number": "1083623672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1827 CHESTNUT AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282053017",
            "telephone_number": "704-910-2250",
            "fax_number": "704-817-8539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1338 HUNDRED OAKS DR",
            "address_2": "SUITE B",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282174051",
            "telephone_number": "704-910-2250",
            "fax_number": "704-817-8539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "KATHRYN",
        "middle_name": "ELIZABETH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2017-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "200100065",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NC",
            "license": "200100065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hailey Long
• Jennifer Long
• Joann Long, D.O.
• Joseph Michael Long II, MD
• Kashiti Genikka Nicole Long, MD
• Kathryn Wood Long, MED
• Kelly Long
• Kristopher Long
• Krystal Long, MS, LCAS-A
• Kyndra Ginell Long, LAT, ATC

• Adult Medicine Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Adult Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.