Mr. Kenneth D Long
Mr. Kenneth D Long is a Physician Assistant in Prineville, Oregon. Licensed in Oregon. Registered with an NPI since 2005.
- Licensed in
- OR
- In the registry since
- 2005
Practice location Address checks out
1251 NE Elm StPrineville, OR 97754
Phone: (541) 447-1680
Fax: (541) 447-4670
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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 PA00535 (OR) |
|---|
Record details
| NPI number | 1982605911 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 1, 2005 |
| Last updated in NPPES | July 13, 2026 |
| Mailing address | 1251 Ne Elm St, Prineville, OR 97754 |
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