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

Kyla Long

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1063271583

Kyla Long is a Student in an Organized Health Care Education/Training Program in Mishawaka, Indiana. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

611 E Douglas Rd Ste 406
Mishawaka, IN 46545-1468
Phone: (574) 335-6514
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1063271583
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 18, 2024
Last updated in NPPESMarch 18, 2024
Certification dateMarch 17, 2024
Mailing address54773 Winding River Dr, Middlebury, IN 46540-9139

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