Nurse Practitioner, Pediatrics
KATHLEEN LONG CNP
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1720129224 · enumerated 2007-02-09 · record updated 2007-07-08. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 2100 COMMONWEALTH BLVD, SUITE 202, ANN ARBOR, MI, 48105-1593 Google Maps Apple Maps OpenStreetMap
- Practice location 990 W ANN ARBOR TRL, SUITE 210, PLYMOUTH, MI, 48170-6204 (734) 455-4600 Fax (734) 455-5637 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner, Pediatrics 363LP0200X · Primary · License 4704148138 MI
In this directory
Locations and evidence
-
Practice location
PLYMOUTH, MI, 481706204
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.