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

Individual provider Physician Assistant · NPI 1144781576

Kyle David Long, PA-C is a Physician Assistant in Norfolk, Virginia. Qualified in 2019, 7 years ago. Practices with Florida Trauma Services LLC, a 93-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
7
Licensed in
VA
In the registry since
2019
Specialties on file
2
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

825 Fairfax Ave Unit 310
Norfolk, VA 23507-1914
Phone: (757) 238-4497
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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 0110006758 (VA)
Physician Assistant Taxonomy 363A00000X · Licence 0110006768 (VA)

Record details

NPI number1144781576
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedMarch 28, 2019
Last updated in NPPESJune 14, 2022
Certification dateJune 10, 2022
Mailing address4701 Lake Shore Dr, Chesapeake, VA 23321-1383

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Florida Trauma Services Llc — 93 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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