| 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 |
|---|---|
| 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 | |
Mark Anthony Williams, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 7717 N Orange Prairie Rd, Peoria, IL 61615 Phone: 309-589-6800 | |
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 |