Organization
KYLE D LOY MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KYLE DWAIN LOY M.D. (PC)
(765) 474-4500
Entity
Organization
Contact information
Practice address
2606 VETERANS MEMORIAL PKWY S, STE 1, LAFAYETTE, IN 47909-9192
(765) 474-4500
(765) 474-1122
Mailing address
2606 VETERANS MEMORIAL PKWY S, SUITE 1, LAFAYETTE, IN 47909-9192
(765) 474-4500
(765) 474-1122
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
01026301A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000361234
ANTHEM PIN #
IN
05
—
200903820A
—
IN
01
—
DD2208
MEDICARE RAILROAD
IN
Enumeration date
03/22/2007
Last updated
11/01/2012
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