Organization
KEVIN G. LOESCH OD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN G LOESCH OD (OPTOMETRIST)
(859) 635-0948
Entity
Organization
Contact information
Practice address
6711 ALEXANDRIA PIKE, ALEXANDRIA, KY 41001-1025
(859) 635-0948
Mailing address
119 HUNTERS HL, ALEXANDRIA, KY 41001-8576
(859) 635-6179
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1272DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100155840
—
KY
Enumeration date
01/21/2014
Last updated
02/06/2014
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