Individual
KATHY JO LOUGHREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
3801 WYOMING ST, SAINT LOUIS, MO 63116-4840
(314) 332-2395
Mailing address
3801 WYOMING ST, SAINT LOUIS, MO 63116-4840
(314) 332-2395
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
085789
MO
363L00000X
Nurse Practitioner
Primary
ARNP3305452
FL
363LN0000X
Neonatal Nurse Practitioner
085789
MO
363LN0000X
Neonatal Nurse Practitioner
ARNP3305452
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
303542500
—
FL
01
—
Y9326
BCBS
FL
01
—
Y9326
BCBS
—
Enumeration date
12/22/2005
Last updated
12/24/2014
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