Kathy Long is a Licensed Practical Nurse based in Peoria, IL. Kathy Long practices in Peoria, IL. The NPI Number for Kathy Long is 1700328549 and holds a License No. 043051028 (Illinois).
The current practice location address for Kathy Long is 2803 W Newman Pkwy, Peoria, IL and can be reached out via phone at 309-687-0053.
Location: 2803 W Newman Pkwy, Peoria, IL, 61604-2211
Provider Profile Details
NPI Number
1700328549
Provider Name
Kathy Long
Credential
Provider Entity Type
Individual
Gender
Female
Address
2803 W Newman Pkwy, Peoria, IL, 61604-2211
Phone Number
309-687-0053
Fax Number
Provider Enumeration Date
11/10/2016
Last Update Date
03/09/2024
Provider Business Practice Location Address Details
Address
2803 W Newman Pkwy
City
State
Zip
61604-2211
Phone Number
309-687-0053
Fax Number
Provider Business Mailing Address Details
Address
2803 W Newman Pkwy
City
State
Zip
61604-2211
Phone Number
309-687-0053
Fax Number
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
License No.
043051028 (Illinois)
Definition
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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