Individual
MRS. JULIE MARIE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7900 LEES SUMMIT RD, KANSAS CITY, MO 64139-1236
(816) 404-7000
Mailing address
7900 LEES SUMMIT RD, KANSAS CITY, MO 64139-1236
(816) 404-7650
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
140667
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1932377611
—
MO
05
—
200624100A
—
KS
Enumeration date
02/14/2008
Last updated
09/19/2012
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