Individual
DR. KEVIN ROBERT LOOMIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.H.D.
Contact information
Practice address
1601 MILLTOWN RD, SUITE 14, WILMINGTON, DE 19808-4027
(302) 995-9188
(302) 995-9189
Mailing address
1601 MILLTOWN RD, SUITE 14, WILMINGTON, DE 19808-4027
(302) 995-9188
(302) 995-9189
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
B1-0000219
DE
Other
Enumeration date
11/20/2006
Last updated
07/08/2007
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