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

Individual provider Medical Physician Assistant · NPI 1891933495

Miss. Kelly K Long, PA-C is a Physician Assistant in Boston, Massachusetts. Qualified in 2008, 18 years ago. Practices with Brigham and Womens Physicians Organization Inc, a 2,916-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
18
Licensed in
MA
In the registry since
2009
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

75 Francis St
Boston, MA 02115-6110
Phone: (781) 640-1542
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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 PA3727 (MA)

Record details

NPI number1891933495
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedFebruary 4, 2009
Last updated in NPPESDecember 4, 2023
Certification dateDecember 4, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Brigham And Womens Physicians Organization Inc — 2916 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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