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Kimberly Long, LPN

Licensed Practical Nurse in Grand Island, NE. Individual provider (NPI-1).

NPI number1609677293
StatusActive
Last updated in NPPESMar 20, 2025

Details

NPI
1609677293
Entity type
Individual (NPI-1)
Name
Kimberly Long
Credential
LPN
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 20, 2025
Certification date
Mar 20, 2025
Last updated
Mar 20, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164W00000X Licensed Practical Nurse17906NEYes

Practice location

1811 W 2nd St Ste Ll200
Grand Island, NE 68803-5420

Phone 308-833-3981

Mailing address

4225 N Constitution Ave
Kenesaw, NE 68956-1652

Phone 308-920-0542

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