Individual
KENNETH CHARLES LOUD
Active
Individual
KENNETH CHARLES LOUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305003180
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
193561
ANTHEM
—
01
—
2138099
FIRST HEALTH
—
01
—
3223253
AETNA
—
01
—
57767
OPTIMA HEALTH INS
—
01
—
615185
ALLIANCE HMO,EC,MC
VA
01
—
615185
MAMSI/OPT/MDOPA/ALLIANCE
—
01
—
64-00296
UNITED HEALTHCARE
—
01
—
990011349
RAILROAD MEDICARE
—
Enumeration date
12/03/2007
Last updated
11/14/2008
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