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KELLY LONG LVN
NPI 1720649676
Licensed Vocational Nurse in Pomona, CA

Active since June 21, 2019
2180 VALLEY BLVD, POMONA, CA 91768(909) 865-2336(909) 629-5294 Get Directions Write a Review

NPPES record last updated: June 21, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Long Lvn NPPES

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

KELLY LONG LVN (NPI 1720649676) is an individual licensed vocational nurse in Pomona, California, licensed in California (VN204910) and active in the NPI registry since June 2019.

NPPES Registry Identity

NPI1720649676
Entity TypeIndividualFemale
Primary Taxonomy164X00000X
Provider Legal NameKELLY LONGCredential: LVN
Location Address2180 VALLEY BLVDPomona, CA 91768-3325
Mailing Address2180 Valley BlvdPomona, CA 91768-3325 · (909) 865-2336 · Fax (909) 629-5294
Phone(909) 865-2336
Fax(909) 629-5294
Sole ProprietorNo
Enumeration DateJune 21, 2019
✔ NPI 1720649676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Vocational NurseNursing Service Providers
Taxonomy Code164X00000X
License✔ Licensed in CA · VN204910
Definition
A licensed vocational 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. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.
2180 VALLEY BLVD, Pomona, CA 91768
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELOCHUKWU UDE
Licensed Vocational Nurse
2180 VALLEY BLVD
POMONA, CA 91768
Los Angeles County (909) 437-8790
LILIANA MIRELES
Counselor (Addiction (Substance Use Disorder))
2180 VALLEY BLVD
POMONA, CA 91768
Los Angeles County (909) 865-1831
DONNA MICHELLE BASS
Counselor (Addiction (Substance Use Disorder))
2180 VALLEY BLVD
POMONA, CA 91768
Los Angeles County (909) 865-2336
DAISHA ELIZABETH RAMSDELL R1615840525
Counselor (Addiction (Substance Use Disorder))
2180 VALLEY BLVD
POMONA, CA 91768
Los Angeles County (909) 865-2336
CELY GARCIA
Counselor (Addiction (Substance Use Disorder))
2180 VALLEY BLVD
POMONA, CA 91768
Los Angeles County (909) 865-2336
MR. EDWARD FRANCISCO LOPEZ
Counselor (Addiction (Substance Use Disorder))
2180 VALLEY BLVD
POMONA, CA 91768
Los Angeles County (909) 865-2336
PHILIPE NICHOLAS WITTEN
Counselor (Addiction (Substance Use Disorder))
2180 VALLEY BLVD
POMONA, CA 91768
Los Angeles County (909) 865-2336
VALERIE DIXON
Registered Nurse (Addiction (Substance Use Disorder))
2180 VALLEY BLVD
POMONA, CA 91768
Los Angeles County (909) 865-2336

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 Kelly Long's NPI number?

The NPI number for Kelly Long is 1720649676. It was assigned to this individual provider in the NPPES registry on June 21, 2019.

Where is Kelly Long located?

Kelly Long practices at 2180 Valley Blvd, Pomona, CA 91768. The listed phone number is (909) 865-2336.

What is Kelly Long's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

When was this NPI record last updated?

The NPPES record for Kelly Long was last updated on June 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.