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

Kelly Long, PA-C

Individual provider Physician Assistant · NPI 1740791623

Kelly Long, PA-C is a Physician Assistant in Lakewood, Colorado. Qualified in 2017, 9 years ago. Practices with Rocky Mountain Cancer Centers LLP, a 132-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Colorado.

Years since qualifying
9
Licensed in
CO
In the registry since
2017
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

11750 W 2nd Pl Ste 160
Lakewood, CO 80228-1724
Phone: (303) 430-2700
Fax: (303) 430-2770
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA.0006502 (CO)

Record details

NPI number1740791623
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 18, 2017
Last updated in NPPESApril 29, 2026
Certification dateApril 29, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Rocky Mountain Cancer Centers Llp — 132 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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