Long, Kimm Christine

Long, Kimm Christine is an individual health care provider with primary practice located at 1600 N Morley St Ste A120 , Moberly MO 65270-3685. She recently has 4 registered licenses in different health care specialties including Nursing Service Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Long, Kimm Christine can be contacted via phone (660) 372-9595.

Contact Information

Primary practice address
1600 N Morley St Ste A120 Moberly MO 65270-3685
Phone: (660) 372-9595
Fax: (660) 372-9696
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Critical Care Medicine 163WC0200X 153901 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 364SA2100X 2016022480 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 364SG0600X 2016022480 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 364SA2200X 2016022480 Missouri

Profile Details

NPI number 1790137651
LBN Legal business name Long, Kimm Christine
Credentials ACCNS-AG
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 4th, 2016
Last updated Oct 17th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790137651 NPPES
Missouri MEDICAID 1790137651

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