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

Individual provider Physician Assistant · NPI 1366520686

Randy J. Long, PA-C, FAPACUS is a Physician Assistant in Wichita, Kansas. Licensed in Kansas. Registered with an NPI since 2006.

Licensed in
KS
In the registry since
2006
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

9350 E 35th St N Ste 104
Wichita, KS 67226
Phone: (316) 616-6272
Fax: (316) 858-7085
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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 15-00793 (KS)
Physician Assistant Taxonomy 363A00000X · Licence 1500793 (KS)

Record details

NPI number1366520686
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C , FAPACUS
Sole proprietorNo
NPI enumeratedNovember 2, 2006
Last updated in NPPESJanuary 28, 2010

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