Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kenneth W Long, MD

Individual provider Family Medicine Physician · NPI 1114971991

Dr. Kenneth W Long, MD is a Family Medicine Physician in Gulf Breeze, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1395 El Rito Dr
Gulf Breeze, FL 32563-6707
Phone: (850) 932-9251
Fax: (850) 932-9199
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Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ME77376 (FL)

Record details

NPI number1114971991
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 19, 2006
Last updated in NPPESFebruary 21, 2014
Mailing addressPo Box 2699, Pensacola, FL 32513-2699

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