Kenneth L. Long, M.D., P.a.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

D8326 Issued in TX

Legal business name

KENNETH L. LONG, M.D., P.A.

Practice address

1305 Wonder World Dr
Suite 301
San Marcos, TX 78666-7546

Phone

(512) 392-6081

Fax

(512) 353-7268

NPI assigned

Feb 20, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth L Long, M.D.

Title

President

Phone

(512) 392-6081

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1329696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329696000000",
    "number": "1619240868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 WONDER WORLD DR",
            "address_2": "SUITE 301",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786667546",
            "telephone_number": "512-392-6081",
            "fax_number": "512-353-7268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 WONDER WORLD DR",
            "address_2": "SUITE 301",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786667546",
            "telephone_number": "512-392-6081",
            "fax_number": "512-353-7268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH L. LONG, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-20",
        "last_updated": "2012-02-20",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-392-6081",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "D8326",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114353902",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Keenan
• Savannah Nicole Keller
• Vanessa Kelly, M.S., CCC-SLP
• Margaret Marie Kelner, FNP
• Modeste R Kenfack Djouaka
• Thomas Kepczyk, M.D.
• Kaycie Brooke Kerby
• Annmarie Kessler
• Jacob Keup, AUD
• Addison Rose Key

• Internal Medicine Physician in San Marcos, TX
• Providers in San Marcos, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2012; 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.