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Individual
KIMM CHRISTINE LONG
Active
Individual
KIMM CHRISTINE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACCNS-AG
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
153901
MO
364SA2100X
Acute Care Clinical Nurse Specialist
2016022480
MO
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
2016022480
MO
364SG0600X
Gerontology Clinical Nurse Specialist
2016022480
MO
Other
Enumeration date
07/04/2016
Last updated
10/17/2018
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