# KIMM CHRISTINE LONG

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1790137651
- **Gender:** F
- **Credential:** ACCNS-AG

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WC0200X | Critical Care Medicine Registered Nurse | 153901 | MO | — |
| 364SA2100X | Acute Care Clinical Nurse Specialist | 2016022480 | MO | — |
| 364SA2200X | Adult Health Clinical Nurse Specialist | 2016022480 | MO | Yes |
| 364SG0600X | Gerontology Clinical Nurse Specialist | 2016022480 | MO | — |

## Other

- **Enumeration date:** 07/04/2016
- **Last updated:** 10/17/2018