Dr KATHY AMANDA LONG NP is a female medical professional, specializing in Nurse Practitioner. She graduated in 2004.
PAIN MANAGEMENT CENTERS OF AMERICA PSC
67 LAKEVIEW DR
PADUCAH
KY
420015619
Tel: 2705548373
| Npi | 1407929870 |
| Pac Id | 0840244414 |
| Professional Enrollment Id | I20050307000341 |
| Last Name | LONG |
| First Name | KATHY |
| Middle Name | AMANDA |
| Suffix | |
| Gender | F |
| Credential | NP |
| Medical School Name | OTHER |
| Graduation Year | 2004 |
| Primary Specialty | NURSE PRACTITIONER |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | PAIN MANAGEMENT CENTERS OF AMERICA PSC |
| Group Practice Pac Id | 2769727114 |
| Number Of Group Practice Members | 30 |
| Line 1 Street Address | 67 LAKEVIEW DR |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | PADUCAH |
| State | KY |
| Zip Code | 420015619 |
| Phone Number | 2705548373 |
| Hospital Affiliation Ccn 1 | 180104 |
| Hospital Affiliation Lbn 1 | BAPTIST HEALTH PADUCAH |
| Hospital Affiliation Ccn 2 | 180102 |
| Hospital Affiliation Lbn 2 | LOURDES HOSPITAL |
| Hospital Affiliation Ccn 3 | 181304 |
| Hospital Affiliation Lbn 3 | TRIGG COUNTY HOSPITAL |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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