Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | 38648 | KY |
NPI | 1184608135 |
---|---|
Provider Name | Dr. Arthur W. Loesevitz |
First Address | Elizabethtown, KY 42701-9412 |
Second Address | Fort Knox, KY 40121-2722 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/12/2005 |
Last Update Date | 08/07/2007 |