KIMBERLY ATHENA LONG APRN NPI 1245620798

NPI Information

  • NPI: 1245620798
  • Provider Name: KIMBERLY ATHENA LONG, APRN
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 7238 W HIGHWAY 80
    NANCY, KY
    ZIP 42544
  • Phone: (606) 636-4215

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NPI Details

Kimberly Athena Long, APRN is a family nurse practitioner in Nancy, KY with 12 years of experience. Kimberly Athena Long, APRN NPI is 1245620798. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7238 W HIGHWAY 80
NANCY, KY
ZIP 42544-752
Phone: (606) 636-4215
Fax: (606) 636-4215

The NPI 1245620798 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/4/2015 and was last updated on 8/16/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363L00000XNurse Practitioner3009211KENTUCKYNo
2363LF0000XNurse PractitionerFamily3009211KENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17100341880MEDICAIDKENTUCKY
212798047OTHERCAQH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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