KACI LONGTIN
NPI 1003563925
Specialist in Moorhead, MN

Q: What is the provider's specialty?

The provider's specialty is Specialist with taxonomy code 174400000X.

Active since March 10, 2022

1547 30TH AVE S, MOORHEAD, MN 56560(218) 287-4338(218) 287-5928 Get Directions Write a Review

NPPES record last updated: March 10, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

On this page

About Kaci Longtin NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KACI LONGTIN (NPI 1003563925) is an individual specialist in Moorhead, Minnesota and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1003563925

Entity TypeIndividualFemale

Primary Taxonomy174400000X

Provider Legal NameKACI LONGTIN

Location Address1547 30TH AVE SMoorhead, MN 56560-5149

Mailing Address1547 30th Ave SMoorhead, MN 56560-5149 · (218) 287-4338 · Fax (218) 287-5928

Phone(218) 287-4338

Fax(218) 287-5928

Sole ProprietorNo

Enumeration DateMarch 10, 2022

NPPES CertifiedMarch 10, 2022

✔ NPI 1003563925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1547 30TH AVE S, Moorhead, MN 56560

Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANIELLE CUSICK

Case Manager/Care Coordinator