Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kelly Lynn Long, PA-C

Individual provider Medical Physician Assistant · NPI 1568623338

Kelly Lynn Long, PA-C is a Physician Assistant in Plymouth, Michigan. Qualified in 1999, 27 years ago. Practices with Michigan Infusion Services and Licensed Healthcare, a 4-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
27
Licensed in
MI
In the registry since
2008
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

500 Ross St
Plymouth, MI 48170-2206
Phone: (734) 341-7767
Fax: (734) 893-3131
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 5601003518 (MI)

Record details

NPI number1568623338
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJune 24, 2008
Last updated in NPPESMay 5, 2022
Certification dateMay 5, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Michigan Infusion Services And Licensed Healthcare — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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