Dr KENNETH W LONG is a male medical professional, specializing in Family Medicine. He graduated in 1975 from Ohio State University College Of Medicine.
SACRED HEART HOSPITAL OF PENSACOLA
8220 NAVARRE PKWY
SACRED HEART HOSPITAL PENSAC
NAVARRE
FL
325666943
Tel: 8504167272
| Npi | 1114971991 |
| Pac Id | 3173688991 |
| Professional Enrollment Id | I20090211000443 |
| Last Name | LONG |
| First Name | KENNETH |
| Middle Name | W |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OHIO STATE UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 1975 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | SACRED HEART HOSPITAL OF PENSACOLA |
| Group Practice Pac Id | 3779491386 |
| Number Of Group Practice Members | 261 |
| Line 1 Street Address | 8220 NAVARRE PKWY |
| Line 2 Street Address | SACRED HEART HOSPITAL PENSAC |
| Marker Of Address Line 2 Suppression | |
| City | NAVARRE |
| State | FL |
| Zip Code | 325666943 |
| Phone Number | 8504167272 |
| Hospital Affiliation Ccn 1 | 100025 |
| Hospital Affiliation Lbn 1 | SACRED HEART HOSPITAL |
| Hospital Affiliation Ccn 2 | 100266 |
| Hospital Affiliation Lbn 2 | GULF BREEZE HOSPITAL |
| Hospital Affiliation Ccn 3 | 100093 |
| Hospital Affiliation Lbn 3 | BAPTIST HOSPITAL |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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