NPI 1023600723
Madonna Elizabeth Marie Long
Practice location
- Address
- 806 Pine Ave, Kemmerer, WY 83101-2900
- Phone
- (307) 877-2993
- Mailing address
- PO Box 1074, Kemmerer, WY 83101-1074
Registered specialties
Durable Medical Equipment & Medical Supplies
Primary
Registry record
- NPI
- 1023600723
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 4 Feb 2021
- Record last updated
- 4 Feb 2021
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.