Kiana Long, D.O.
Individual provider Active NPI Family Medicine Physician · Trenton, MO
NPI 1285807362 · NPPES record last updated Oct 23, 2019
Key facts
- NPI
- 1285807362
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 20100000750 (MO)
- Practice address
- 191 Iowa Blvd
Wright Memorial Hospital
Trenton, MO 64683-8343 - Phone
- (660) 358-5700
- NPI assigned
- Apr 9, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100603000019 | MO | Practitioner - Family Practice |
5496884397 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20100000750 | MO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Macon County Samaritan Hospital | Current |
Accepting new patients | |
| Cameron Regional Medical Center Inc | Current |
Accepting new patients | |
| General John J Pershing Memorial Hospital Association | Current |
Accepting new patients | |
| Cameron Regional Medical Center, Inc. | Current |
Accepting new patients | |
| General John J Pershing Memorial Hospital Association | Current |
Accepting new patients |
Locations
130 E Lockling St
Brookfield, MO 64628
Phone (660) 258-1050
1600 E Evergreen St
Cameron, MO 64429
Phone (816) 632-2101
1205 N Missouri St
Macon, MO 63552
Phone (660) 385-3151
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 20100000750 | MO | Yes |
Addresses
Primary practice location
191 Iowa Blvd
Wright Memorial Hospital
Trenton, MO 64683-8343
Mailing address
1109 SE Meridian Dr
Lees Summit, MO 64081-3149
Phone (925) 354-6074
Other practice location 1
705 N College St
Albany, MO 64402-1433
Phone (660) 726-3941
Other practice location 2
705 N College St
Albany, MO 64402-1433
Phone (660) 726-3941
Other providers in Trenton, MO
- Michelle Lynn Kraft
- Brooke A Leamer
- Mikaela Ledford
- Craig Lewis
- Gregory Lewis
- Roy Neal Lovell
- Rachel Loyd
- Bailey Nicole Martin
- Barbara S Martin
- Julie Marvin
All providers in Trenton, MO · Family Medicine Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 23, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.