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

Individual provider Physician Assistant · NPI 1699249615

Mrs. Kendra Ray Long, PA-C is a Physician Assistant in Richmond, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2019
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

4823 S Laburnum Ave Ste A
Richmond, VA 23231-2713
Phone: (804) 564-5852
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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 0110007047 (VA)

Record details

NPI number1699249615
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJanuary 12, 2019
Last updated in NPPESMay 22, 2023
Certification dateMay 22, 2023

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