Individual
DR. KENNETH ALAN LOFTUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
450 SISKIYOU BLVD, STE 2, ASHLAND, OR 97520-5107
(541) 482-3873
(541) 482-9115
Mailing address
450 SISKIYOU BLVD, STE 2, ASHLAND, OR 97520-5107
(541) 482-3873
(541) 482-9115
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2634ATI
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
298558
—
OR
Enumeration date
07/05/2005
Last updated
04/12/2010
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