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MS. KELLIE RENEE' LONGENECKER PA-C
NPI 1851541593
Physician Assistant in Arcadia, FL

Active since September 30, 2008
901 N WALDRON ST., ARCADIA, FL 34266(863) 303-4260(863) 494-3227 Get Directions Write a Review

NPPES record last updated: October 4, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 4, 2021, Dec 30, 2016 (2 updates tracked since 2016).

About Ms. Kellie Renee' Longenecker Pa-c NPPES

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

MS. KELLIE RENEE' LONGENECKER PA-C (NPI 1851541593) is an individual physician assistant in Arcadia, Florida, licensed in Florida (PA9104809) and active in the NPI registry since September 2008.

NPPES Registry Identity

NPI1851541593
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. KELLIE RENEE' LONGENECKERCredential: PA-C
Location Address901 N WALDRON ST.Arcadia, FL 34266-5011
Mailing Address901 N Waldron StArcadia, FL 34266-3541 · (863) 303-4260
Phone(863) 303-4260
Fax(863) 494-3227
Sole ProprietorNo
Enumeration DateSeptember 30, 2008
Last NPPES UpdateOctober 4, 20212 updates tracked since enumeration
NPPES CertifiedOctober 4, 2021
✔ NPI 1851541593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in FL · PA9104809
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
901 N WALDRON ST., Arcadia, FL 34266
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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 Kellie Longenecker's NPI number?

The NPI number for Kellie Longenecker is 1851541593. It was assigned to this individual provider in the NPPES registry on September 30, 2008.

Where is Kellie Longenecker located?

Kellie Longenecker practices at 901 N Waldron St., Arcadia, FL 34266. The listed phone number is (863) 303-4260.

What is Kellie Longenecker's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Kellie Longenecker was last updated on October 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.