Long, Kimberley Lee

Long, Kimberley Lee is an individual health care provider with primary practice located at 1817 W Morris Blvd , Morristown TN 37813-2837. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Long, Kimberley Lee can be contacted via phone (423) 581-3904.

Contact Information

Primary practice address
1817 W Morris Blvd Morristown TN 37813-2837
Phone: (423) 581-3904
Fax: (423) 581-3904
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 8349 Tennessee

Profile Details

NPI number 1629093828
LBN Legal business name Long, Kimberley Lee
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Nov 17th, 2017 - about 9 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 1629093828 NPPES
Tennessee MEDICAID 5440627

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