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

Kerry Long

Individual provider Military Health Care Provider · NPI 1114643178

Kerry Long is a Military Health Care Provider in Jackson, Michigan. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
6

Practice location Address checks out

1203 1st St Ste 505
Jackson, MI 49203-3034
Phone: (517) 227-3700
Fax: (888) 323-2176
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X
Military Health Care Provider Taxonomy 171000000X
Health & Wellness Coach Taxonomy 171400000X
Case Manager/Care Coordinator Taxonomy 171M00000X
Community Health Worker Taxonomy 172V00000X
Recreation Therapist Taxonomy 225800000X

Record details

NPI number1114643178
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 12, 2022
Last updated in NPPESNovember 15, 2022
Certification dateNovember 15, 2022
Mailing address1203 1st St Ste 505, Jackson, MI 49203-3034

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