Individual
KIMQ MARIE LOUGHRY
Active
Individual
KIMQ MARIE LOUGHRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN,BSN,ET,CWON
Taxonomy
Speciality
Code
Description
License number
State
163WE0900X
Enterostomal Therapy Registered Nurse
Primary
RN205247L
PA
Other
Enumeration date
10/13/2006
Last updated
07/08/2007
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