Individual
MRS. JENNA LYNN LOOMIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
1947 N FOUNDERS CIR, WICHITA, KS 67206-3548
(316) 613-4680
(316) 613-4940
Mailing address
PO BOX 8035, WICHITA, KS 67208-0035
(316) 689-9135
(316) 689-9769
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
2242
KS
Other
Enumeration date
10/02/2012
Last updated
11/19/2015
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