Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KATHY LONG
Active Sole ProprietorKATHY LONG is a Licensed Practical Nurse healthcare provider located in PEORIA, Illinois. NPI 1700328549 is currently active in the NPPES registry. Verify at CMS.
Licensed Practical Nurse · PEORIA, IL
Registration Details
- NPI Number
- 1700328549
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 10, 2016 (9.7452963605755 yrs)
- Last Updated
- Nov 10, 2016
- License
-
043051028 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2803 W NEWMAN PKWYPEORIA, IL, 616042211Browse IL providers · Browse ZIP 61604
- Phone
- 3096870053
- Primary Specialty
-
Licensed Practical Nurse
164W00000X
Other Licensed Practical Nurse Providers in PEORIA, IL
| Name | Credential | NPI |
|---|---|---|
| IVA WASHUM | LPN | 1952847634 |
| SHIRLEY POTTS | — | 1558935437 |
| BARBARA IRENE COOPER | LPN | 1063081024 |
| MARK ANTHONY WILLIAMS | LPN | 1316811979 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.