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KATHY LONG
NPI 1700328549
Licensed Practical Nurse in Peoria, IL

Active since November 10, 2016
2803 W NEWMAN PKWY, PEORIA, IL 61604(309) 687-0053 Get Directions Write a Review

NPPES record last updated: November 10, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kathy Long NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHY LONG (NPI 1700328549) is an individual licensed practical nurse in Peoria, Illinois, licensed in Illinois (043051028) and active in the NPI registry since November 2016.

NPPES Registry Identity

NPI1700328549
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameKATHY LONG
Location Address2803 W NEWMAN PKWYPeoria, IL 61604-2211
Mailing Address2803 W Newman PkwyPeoria, IL 61604-2211 · (309) 687-0053
Phone(309) 687-0053
Sole ProprietorYes
Enumeration DateNovember 10, 2016
✔ NPI 1700328549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in IL · 043051028
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
2803 W NEWMAN PKWY, Peoria, IL 61604
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathy Long's NPI number?

The NPI number for Kathy Long is 1700328549. It was assigned to this individual provider in the NPPES registry on November 10, 2016.

Where is Kathy Long located?

Kathy Long practices at 2803 W Newman Pkwy, Peoria, IL 61604. The listed phone number is (309) 687-0053.

What is Kathy Long's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Kathy Long was last updated on November 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.