Individual provider · Type 1 NPI

Kelly Long, LVN

Licensed Vocational Nurse · Pomona, CA

NPI number 1720649676 Active

Practice location

2180 Valley Blvd
Pomona, CA 91768-3325

Fax (909) 629-5294

Specialties and licenses

TaxonomyCodeLicense
Licensed Vocational Nurse Primary 164X00000XVN204910 (CA)

Licensed Vocational 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. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job re…

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About NPI 1720649676

Kelly Long, LVN's National Provider Identifier is 1720649676, issued on Jun 21, 2019. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in Pomona, CA. The record was last updated on Jun 21, 2019.