NPI 1003563925

Kaci Longtin

Practitioner Specialist Moorhead, MN

Practice location

Address: 1547 30th Ave S, Moorhead, MN 56560-5149
Phone: (218) 287-4338
Fax: (218) 287-5928

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X

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Registry record

NPI: 1003563925
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Mar 2022
Record last updated: 10 Mar 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.