Miss Kathy Amanda Long
ARNP-BC | Nurse Practitioner | 21+ years Exp
108 Airway Dr, Marion
Illinois, 62959-5841
618-997-7820
Miss Kathy Amanda Long is a Marion, Illinois based nurse practitioner with 21 years of experience in . She completed her graduation in 2004. She may accept the Medicare-approved amount. Patients may be billed for more than the Medicare deductible and coinsurance. Active license number of Miss Kathy Amanda Long is 3092927 in Kentucky. Her current practice location is 108 Airway Dr, Marion. Patients can reach her at 618-997-7820 or can fax her at 618-997-6721. Miss Kathy Amanda Long is ARNP-BC and her NPI number (Unique professional ID assigned by NPPES) is 1407929870.
Miss Kathy Amanda Long has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Miss Kathy Amanda Long speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Miss Kathy Amanda Long |
| Specialization: | Nurse Practitioner (NP) |
| Gender: | Female |
| Credentials: | ARNP-BC |
| Accepts Medicare Assignment: | May Accept |
| Practice Address: | 108 Airway Dr, Marion,
Illinois, 62959-5841 |
| Phone: | 618-997-7820 |
| Fax: | 618-997-6721 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 0840244414 |
| Enrollment ID: | I20050307000341 |
| NPI Number: | 1407929870 |
| NPI Enumeration Date: | 15 Nov, 2006 |
| NPI Last Update On: | 19 Feb, 2020 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Miss Kathy Amanda Long are as mentioned below.
| License Number | Specialization | State | Status | |
| 3092927 | | Kentucky | Primary | |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Miss Kathy Amanda Long is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Pain Management Centers Of America Psc (2769727114) | 36 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Miss Kathy Amanda Long such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 78905296 | Medicaid | Kentucky | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Miss Kathy Amanda Long
2831 Lone Oak Rd,
Paducah, Kentucky |
| Zip: | 42003-8041 |
| Phone Number: | 270-554-8373 |
| Fax Number: | 270-554-8987 |
Patients can reach Miss Kathy Amanda Long at
108 Airway Dr, Marion, Illinois or can
call to book an appointment on 618-997-7820.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.