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KERRY LONG
NPI 1114643178
Specialist in Jackson, MI

Active since October 12, 2022
1203 1ST ST STE 505, JACKSON, MI 49203(517) 227-3700(888) 323-2176 Get Directions Write a Review

NPPES record last updated: November 15, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 15, 2022, Oct 12, 2022 (2 updates tracked since 2022).

About Kerry Long NPPES

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

KERRY LONG (NPI 1114643178) is an individual specialist in Jackson, Michigan and active in the NPI registry since October 2022.

NPPES Registry Identity

NPI1114643178
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameKERRY LONG
Location Address1203 1ST ST STE 505Jackson, MI 49203-3034
Mailing Address1203 1st St Ste 505Jackson, MI 49203-3034 · (517) 227-3700 · Fax (888) 323-2176
Phone(517) 227-3700
Fax(888) 323-2176
Sole ProprietorNo
Enumeration DateOctober 12, 2022
Last NPPES UpdateNovember 15, 20222 updates tracked since enumeration
NPPES CertifiedNovember 15, 2022
✔ NPI 1114643178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ 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.
Also ListedMilitary Health Care ProviderTaxonomy 171000000X
Also ListedHealth and Wellness CoachTaxonomy 171400000X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedCommunity Health WorkerTaxonomy 172V00000X
Also ListedRecreation TherapistTaxonomy 225800000X
1203 1ST ST STE 505, Jackson, MI 49203
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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 Kerry Long's NPI number?

The NPI number for Kerry Long is 1114643178. It was assigned to this individual provider in the NPPES registry on October 12, 2022.

Where is Kerry Long located?

Kerry Long practices at 1203 1st St Ste 505, Jackson, MI 49203. The listed phone number is (517) 227-3700.

What is Kerry Long's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Kerry Long was last updated on November 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.