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Kathy Long
Licensed Practical Nurse in Peoria, Illinois
NPI 1700328549

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. You can also correspond with Kathy Long through the mailing address at 2803 W NEWMAN PKWY, PEORIA, IL - 61604-2211 (mailing address contact number: 309-687-0053).

Location: 2803 W Newman Pkwy, Peoria, IL, 61604-2211
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
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
institution
Provider Business Practice Location Address Details
Address
2803 W Newman Pkwy
City
Peoria
State
Illinois
Zip
61604-2211
Phone Number
309-687-0053
Fax Number
person
Provider Business Mailing Address Details
Address
2803 W Newman Pkwy
City
Peoria
State
Illinois
Zip
61604-2211
Phone Number
309-687-0053
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
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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