Individual
KENNETH CHARLES LOUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
747 VOLVO PKWY, 103, CHESAPEAKE, VA 23320-1615
(757) 420-2880
Mailing address
747 VOLVO PKWY, 103, CHESAPEAKE, VA 23320-1615
(757) 420-2880
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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