Kathy Long

Licensed Practical Nurse · Peoria, IL

Individual Active NPI

NPI number 1700328549

Practice location

2803 W Newman Pkwy
Peoria, IL 61604-2211
Phone
(309) 687-0053

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NPI record

NPI
1700328549
Entity type
Individual (Type 1)
Enumeration date
November 10, 2016
Last updated
November 10, 2016
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Licensed Practical Nurse Primary 164W00000X 043051028 IL

About Kathy Long

Kathy Long is a healthcare provider registered in the NPI registry with the primary taxonomy Licensed Practical Nurse (code 164W00000X). The practice location is 2803 W Newman Pkwy, Peoria, IL 61604-2211. The NPI number 1700328549 was assigned on November 10, 2016 and the record was last updated on November 10, 2016.

Kathy Long lists a license in the registry: #043051028 (IL) for Licensed Practical Nurse. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kathy Long?

The NPI number is 1700328549.

What is the phone number of Kathy Long?

The phone number listed for the practice location is (309) 687-0053.

Where is Kathy Long located?

2803 W Newman Pkwy, Peoria, IL 61604-2211.

What is the taxonomy code for Kathy Long?

The primary taxonomy code is 164W00000X – Licensed Practical Nurse.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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