NPI 1144853326
Kristopher Long
Practice location
- Address
- 11406 Pedigree Ln, Charlotte, NC 28269-1594
- Phone
- (704) 724-4988
Registered specialties (2)
Driver
Primary
Driver
Registry record
- NPI
- 1144853326
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 17 Feb 2020
- Record last updated
- 17 Feb 2020
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.