Individual provider · Type 1 NPI

Kathy Long

Licensed Practical Nurse · Peoria, IL

NPI number 1700328549 Active

Practice location

2803 W Newman Pkwy
Peoria, IL 61604-2211

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X043051028 (IL)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1700328549

Kathy Long's National Provider Identifier is 1700328549, issued on Nov 10, 2016. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Peoria, IL. The record was last updated on Nov 10, 2016.