Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Miss. Kathy Amanda Long, ARNP-BC

Individual provider Nurse Practitioner · NPI 1407929870

Miss. Kathy Amanda Long, ARNP-BC is a Nurse Practitioner in Marion, Illinois. Works from 2 locations. Licensed in Kentucky.

Licensed in
KY
In the registry since
2006
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Practice location Address checks out

108 Airway Dr
Marion, IL 62959-5841
Phone: (618) 997-7820
Fax: (618) 997-6721
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 67 Lakeview Dr, Paducah, KY 42001-5619 — (270) 554-8373

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 3092927 (KY)

Record details

NPI number1407929870
Entity typeIndividual (Type 1)
GenderFemale
Credentials ARNP-BC
Sole proprietorNo
NPI enumeratedNovember 15, 2006
Last updated in NPPESFebruary 19, 2020
Certification dateFebruary 19, 2020

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