Individual
KERILYNN LOFTUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1905 E. HUEBBE PARKWAY, BELOIT HEALTH SYSTEM INC., BELOIT, WI 53511-1842
(608) 364-2200
(608) 364-1622
Mailing address
1905 E. HUEBBE PARKWAY, BELOIT HEALTH SYSTEM INC., BELOIT, WI 53511-1842
(608) 364-2200
(608) 364-1622
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
036-121891
IL
207V00000X
Obstetrics & Gynecology Physician
Primary
33448020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11080
DEAN HEALTH PLAN HMO
—
05
—
1629087069
—
WI
Enumeration date
08/05/2006
Last updated
10/19/2011
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