Kenny Long
Student in an Organized Health Care Education/Training Program in Albuquerque, NM. Individual provider (NPI-1).
NPI number1023958675
StatusActive
Last updated in NPPESMar 31, 2026
Details
- NPI
- 1023958675
- Entity type
- Individual (NPI-1)
- Name
- Kenny Long
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 31, 2026
- Certification date
- Mar 31, 2026
- Last updated
- Mar 31, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
2211 Lomas Blvd NeAlbuquerque, NM 87106-2719
Phone 505-272-2111
Mailing address
2211 Lomas Blvd NeAlbuquerque, NM 87106-2719
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