Kathy Long
Kathy Long is a Licensed Practical Nurse in Peoria, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2016
Practice location Address checks out
2803 W Newman PkwyPeoria, IL 61604-2211
Phone: (309) 687-0053
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Licensed Practical Nurse (primary) | Taxonomy 164W00000X · Licence 043051028 (IL) |
|---|
Record details
| NPI number | 1700328549 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | November 10, 2016 |
| Last updated in NPPES | November 10, 2016 |
| Mailing address | 2803 W Newman Pkwy, Peoria, IL 61604-2211 |
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