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KYLE LONG
NPI 1396195582
Student in an Organized Health Care Education/Training Program in San Diego, CA

Active since June 17, 2016
330 DICKINSON ST, SAN DIEGO, CA 92103(206) 518-8497 Get Directions Write a Review

NPPES record last updated: February 2, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 2, 2021, Jun 17, 2016 (2 updates tracked since 2016).

About Kyle Long NPPES

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

KYLE LONG (NPI 1396195582) is an individual student in an organized health care education/training program in San Diego, California and active in the NPI registry since June 2016. He maintains a secondary practice location in San Diego.

NPPES Registry Identity

NPI1396195582
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameKYLE LONG
Location Address330 DICKINSON STSan Diego, CA 92103-1913
Mailing Address330 Dickinson StSan Diego, CA 92103-1913 · (206) 518-8497
Phone(206) 518-8497
Sole ProprietorYes
Enumeration DateJune 17, 2016
Last NPPES UpdateFebruary 2, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2021
✔ NPI 1396195582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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.
Also ListedRegistered NurseTaxonomy 163W00000X · License 95025605 (CA)
330 DICKINSON ST, San Diego, CA 92103
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Secondary Practice Location 1

Location 11963 4th AveSan Diego, CA 92101-2394 · Phone (619) 233-3432

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 Kyle Long's NPI number?

The NPI number for Kyle Long is 1396195582. It was assigned to this individual provider in the NPPES registry on June 17, 2016.

Where is Kyle Long located?

Kyle Long practices at 330 Dickinson St, San Diego, CA 92103. The listed phone number is (206) 518-8497.

What is Kyle 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 Kyle Long was last updated on February 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.