KAMBRA JO LONG (NPI# 1295263960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295263960 |
| Entity Type | Individual |
| Full Name | KAMBRA JO LONG |
| Credential | APRN |
| Practice Address |
190 Highway 136 E Calhoun KY 42327-9724 |
| Mailing Address |
12201 Bluegrass Pkwy Louisville KY 40299-2361 |
| Practice Telephone | 2702733783 |
| Practice Fax Number | 2702730079 |
| Mailing Telephone | 5025687364 |
| Mailing Fax Number | 5025687136 |
| Enumeration Date | 2017-05-25 |
| Last Update Date | 2020-09-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
3010312 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
3010312 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
190 HIGHWAY 136 E |
| City | CALHOUN |
| State | KY |
| Zip Code | 42327-9724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932523602 | Lp Calhoun, LLC | Skilled Nursing Facility | 190 Highway 136 E, Calhoun, KY 42327-9724 | 2014-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568699023 | Philip David Embry | Physical Therapist | 190 E State Hwy. 136, Calhoun, KY 42327 | 2009-06-11 |
| 1144460841 | Joseph G Abney | Occupational Therapist | 190 E. Highway 136, Calhoun, KY 42327 | 2009-02-20 |
| 1255582409 | Alicia Waltrip | Physical Therapist | 190 East St Hwy 136, Calhoun, KY 42327 | 2008-10-07 |
| 1881842185 | Kelly Elizabeth Coursey | Physical Therapy Assistant | 190 East State Hwy 136, Calhoun, KY 42327 | 2008-08-29 |
| 1063675163 | Darby Ann Ashby | Occupational Therapy Assistant | 190 State Hwy 136 East, Calhoun, KY 42327 | 2008-07-08 |
| 1447399399 | James Douglas Toler | Psychologist | 1930 State Hwy 81 North, Calhoun, KY 42327 | 2007-02-06 |
| 1972970846 | Gray Counseling Services Pllc | Social Worker | 180 Main St, Calhoun, KY 42327 | 2015-08-27 |
| 1922433291 | Annie Gray-dalton | Social Worker | 180 Main St, Calhoun, KY 42327 | 2013-09-05 |
| 1194042465 | Angela Kay Klump | Physical Therapy Assistant | 190 East State Hwy 136, Calhoun, KY 42327 | 2010-04-27 |
| 1639211659 | Baptist Health Madisonville Inc | Family Medicine | 295 Main Street, Calhoun, KY 42327 | 2007-02-13 |
| Find all providers in zip 42327 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790323731 | Kimberly Luttrell | Nurse Practitioner | 83 White Oak School Rd, Liberty, KY 42539-6180 | 2019-12-19 |
| 1669034781 | Kayla Marie Strother | Nurse Practitioner | 740 S Limestone Ste L304, Lexington, KY 40536-0284 | 2019-06-29 |
| 1558887703 | Tabitha Ann Knight | Nurse Practitioner | 2401 Parterre Pl, Lexington, KY 40504-1686 | 2017-08-18 |
| 1245764521 | Donna Gaye Waldie | Nurse Practitioner | 345 Windsong Dr, Hawesville, KY 42348-6703 | 2017-04-13 |
| 1417330747 | Bethann Nevius | Nurse Practitioner | 444 Marks Ln, Bardstown, KY 40004-9292 | 2015-07-06 |
| 1164813838 | Molly Sullivan Bylsma | Nurse Practitioner | 121 College St., Smiths Grove, KY 42171 | 2015-02-16 |
| 1720384522 | Ruth Gay Lawton | Nurse Practitioner | 1431 Hepburn Ave Apt 1, Louisville, KY 40204-1652 | 2011-01-27 |
| 1184890535 | Geriatric Nurse Practitioner Services, LLC | Nurse Practitioner | 6652 Waterford Pl, Owensboro, KY 42303-9235 | 2008-05-06 |
| 1710067848 | Linda Ann Mcnamara | Nurse Practitioner | 4674 Ironbridge Dr, Lexington, KY 40515-5040 | 2006-10-16 |
| 1417567918 | Orthoregenerative Institute | Nurse Practitioner | 701 Executive Park, Louisville, KY 40207 | 2020-08-09 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.