Individual
KAITLYN RENEE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5440 NW 64TH ST, KANSAS CITY, MO 64151-2415
(816) 741-5576
Mailing address
5440 NW 64TH ST, KANSAS CITY, MO 64151-2415
(816) 741-5576
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
IA-0008303437
MO
Other
Enumeration date
02/18/2026
Last updated
04/03/2026
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