Kristopher Long
Kristopher Long is a Driver in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2020.
- Licensed in
- NC
- In the registry since
- 2020
- Specialties on file
- 2
Practice location Address checks out
11406 Pedigree LnCharlotte, NC 28269-1594
Phone: (704) 724-4988
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Driver (primary) | Taxonomy 172A00000X (NC) |
|---|---|
| Driver | Taxonomy 172A00000X |
Record details
| NPI number | 1144853326 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | February 17, 2020 |
| Last updated in NPPES | February 17, 2020 |
| Certification date | February 17, 2020 |
| Mailing address | 11406 Pedigree Ln, Charlotte, NC 28269-1594 |
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