KIMM CHRISTINE LONG ACCNS-AG NPI 1790137651

NPI Information

NPI: 1790137651
Provider Name: KIMM CHRISTINE LONG, ACCNS-AG
Classification: Clinical Nurse Specialist - 364SA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
1600 N MORLEY ST STE A120
MOBERLY, MO
ZIP 65270
Phone: (660) 372-9595
Get Directions

Kimm Christine Long, ACCNS-AG is an adult health clinical nurse specialist in Moberly, MO with 9 years of experience. Kimm Christine Long, ACCNS-AG NPI is 1790137651. 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:

1600 N MORLEY ST STE A120
MOBERLY, MO
ZIP 65270-685
Phone: (660) 372-9595
Fax: (660) 372-9696

The NPI 1790137651 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 7/4/2016 and was last updated on 10/17/2018.

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
1	163WC0200X	Registered Nurse	Critical Care Medicine	153901	MISSOURI	No
2	364SA2100X	Clinical Nurse Specialist	Acute Care	2016022480	MISSOURI	No
3	364SA2200X	Clinical Nurse Specialist	Adult Health	2016022480	MISSOURI	Yes
4	364SG0600X	Clinical Nurse Specialist	Gerontology	2016022480	MISSOURI	No

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
1	1790137651	MEDICAID	MISSOURI

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: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »