KYLA LONG
NPI 1063271583
Student in an Organized Health Care Education/Training Program in Mishawaka, IN

Active since March 18, 2024
611 E DOUGLAS RD STE 406, MISHAWAKA, IN 46545(574) 335-6514 Get Directions Write a Review

NPPES record last updated: March 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kyla Long NPPES

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

KYLA LONG (NPI 1063271583) is an individual student in an organized health care education/training program in Mishawaka, Indiana and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1063271583
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKYLA LONG
Location Address611 E DOUGLAS RD STE 406Mishawaka, IN 46545-1468
Mailing Address54773 Winding River DrMiddlebury, IN 46540-9139
Sole ProprietorNo
Enumeration DateMarch 18, 2024
NPPES CertifiedMarch 17, 2024
NPI 1063271583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
611 E DOUGLAS RD STE 406, Mishawaka, IN 46545

Other Providers at the Same Location NPPES 5

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

Family Medicine
611 E DOUGLAS RD STE 406
MISHAWAKA, IN 46545
Family Medicine
611 E DOUGLAS RD STE 406
MISHAWAKA, IN 46545
Family Medicine
611 E DOUGLAS RD STE 406
MISHAWAKA, IN 46545
Family Medicine
611 E DOUGLAS RD STE 406
MISHAWAKA, IN 46545
Family Medicine
611 E DOUGLAS RD STE 406
MISHAWAKA, IN 46545

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kyla Long's NPI number?

The NPI number for Kyla Long is 1063271583. It was assigned to this individual provider in the NPPES registry on March 18, 2024.

Where is Kyla Long located?

Kyla Long practices at 611 E Douglas Rd Ste 406, Mishawaka, IN 46545. The listed phone number is (574) 335-6514.

What is Kyla Long's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Kyla Long was last updated on March 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.