Individual
DR. KYLE D. LOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D. P.C.
Contact information
Practice address
2606 VETERANS MEMORIAL PKWY S, SUITE 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
—
100124630B
—
IN
01
—
P00215064
MEDICARE RAILROAD
IN
Enumeration date
11/18/2005
Last updated
11/01/2012
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