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

Kayla Lynne Long, PA

Individual provider Physician Assistant · NPI 1275127540

Kayla Lynne Long, PA is a Physician Assistant in Warren, Michigan. Qualified in 2020, 6 years ago. Practices with Michigan Surgery Specialists PC, a 27-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
6
Licensed in
MI
In the registry since
2021
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

11012 E 13 Mile Rd Ste 112
Warren, MI 48093-2546
Phone: (586) 582-0760
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4466 W Bristol Rd, Flint, MI 48507-3170 — (810) 733-1200

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601010456 (MI)

Record details

NPI number1275127540
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedFebruary 26, 2021
Last updated in NPPESApril 6, 2026
Certification dateApril 6, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Michigan Surgery Specialists Pc — 27 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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