National Provider Identifier

Kelly K Long, PA-C

Kelly K Long, PA-C is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Boston, MA and a listed phone number of (781) 640-1542.

NPI 1891933495Boston, MAMedical Physician Assistant

Source: public NPPES record, last updated December 04, 2023. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

Profile Overview

NPI: 1891933495
Provider Type: Individual
Primary Specialty: Medical Physician Assistant
Enumeration Date: February 04, 2009
Last Updated: December 04, 2023

Practice Location

75 Francis St
Boston, MA 02115-6110

Phone: (781) 640-1542

Mailing Address

76 Chilton St
Cambridge, MA 02138-6802

Specialties

Medical Physician Assistant (363AM0700X)

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Biography

Kelly K. Long, PA-C, is a Boston-based physician assistant with Brigham and Women’s Physicians Organization. Public Medicare profile data lists her hospital affiliations with Brigham and Women’s Hospital and Brigham and Women’s Faulkner Hospital, and reports that she graduated in 2008, reflecting more than 15 years of clinical experience.

Full Record

NPI: 1891933495
Entity Type: Individual
Last Name: Long
First Name: Kelly
Middle Name: K
Name Prefix: Miss
Credential: PA-C
Provider Other Last Name: Devine
Provider Other First Name: Kelly
Provider Other Last Name Type Code: 1
Mailing Street Address: 76 Chilton St
Mailing City: Cambridge
Mailing State: MA
Mailing ZIP Code: 02138-6802
Mailing Country: US
Mailing Phone: (781) 640-1542
Practice Street Address: 75 Francis St
Practice City: Boston
Practice State: MA
Practice ZIP Code: 02115-6110
Practice Country: US
Practice Phone: (781) 640-1542
Enumeration Date: February 04, 2009
Last Updated: December 04, 2023
Sex: Female
Sole Proprietor: Yes
Certification Date: December 04, 2023
Taxonomies: Medical Physician Assistant (363AM0700X)