| Kimberly Athena Long, APRN | |
|
7238 W Highway 80, Nancy, KY 42544-8752 | |
| (606) 636-4215 | |
| (606) 636-4215 |
| Full Name | Kimberly Athena Long |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 7238 W Highway 80, Nancy, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245620798 | NPI | - | NPPES |
| 7100341880 | Medicaid | KY | |
| 12798047 | Other | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 3009211 (Kentucky) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 3009211 (Kentucky) | Primary |
| Entity Name | Allergy Asthma & Sinus Center Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326216052 PECOS PAC ID: 8123198736 Enrollment ID: O20080609000052 |
| Entity Name | Brock Medical, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023379815 PECOS PAC ID: 9830354638 Enrollment ID: O20120628000567 |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly Athena Long, APRN 31 Evergreen Dr, Somerset, KY 42501-5890 Ph: (606) 636-4215 | Kimberly Athena Long, APRN 7238 W Highway 80, Nancy, KY 42544-8752 Ph: (606) 636-4215 |
Mrs. Julia Taylor, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 757 Cook Creek Rd, Nancy, KY 42544 Phone: 606-305-8950 | |
Gloria L Vito, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9919 W Highway 80, Nancy, KY 42544 Phone: 606-636-4214 | |
Mr. Debbie Lynn Wesley, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9919 W Highway 80, Nancy, KY 42544 Phone: 606-636-4581 | |
Christopher Mulloney, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9245 W Highway 80, Nancy, KY 42544 Phone: 606-288-0013 Fax: 606-288-9600 | |
Mrs. Alicia Carol Feltner, APRN FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7238 W Highway 80, Nancy, KY 42544 Phone: 606-636-4214 Fax: 606-636-4215 | |
Lauren Danielle Snow Penticuff, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9245 W Highway 80, Nancy, KY 42544 Phone: 606-288-0013 Fax: 606-288-9600 |