Kathy Long, | |
2803 W Newman Pkwy, Peoria, IL 61604-2211 | |
(309) 687-0053 | |
Not Available |
Full Name | Kathy Long |
---|---|
Gender | Female |
Speciality | Licensed Practical Nurse |
Location | 2803 W Newman Pkwy, Peoria, Illinois |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700328549 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | 043051028 (Illinois) | Primary |
Mailing Address | Practice Location Address |
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Kathy Long, 2803 W Newman Pkwy, Peoria, IL 61604-2211 Ph: (309) 687-0053 | Kathy Long, 2803 W Newman Pkwy, Peoria, IL 61604-2211 Ph: (309) 687-0053 |
Barbara Irene Cooper, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 6901 N Galena Rd, Peoria, IL 61614 Phone: 309-689-2108 Fax: 309-689-2285 | |
Shirley Potts, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 126 Oak St, Peoria, IL 61602 Phone: 309-690-7790 | |
Iva Washum, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 211 Fulton St, Ste 207, Peoria, IL 61602 Phone: 309-671-8700 |