Provider Demographics
NPI:1730346669
Name:LONGWELL, ALANA K, (DO)
Entity type:Individual
Prefix:
First Name:ALANA
Middle Name:K,
Last Name:LONGWELL
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:ALANA
Other - Middle Name:K
Other - Last Name:FEAREY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:1301 W 12TH AVE
Mailing Address - Street 2:SUITE 401
Mailing Address - City:EMPORIA
Mailing Address - State:KS
Mailing Address - Zip Code:66801-2587
Mailing Address - Country:US
Mailing Address - Phone:620-343-2900
Mailing Address - Fax:620-343-9484
Practice Address - Street 1:1201 W 12TH AVE
Practice Address - Street 2:
Practice Address - City:EMPORIA
Practice Address - State:KS
Practice Address - Zip Code:66801-2504
Practice Address - Country:US
Practice Address - Phone:620-343-6800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-19
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS34065207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS30004522370001Medicaid
KS068002125OtherMEDICARE PTAN