Provider Demographics
NPI:1215790811
Name:LOEFFLER, KEVIN HOWARD
Entity type:Individual
Prefix:MR
First Name:KEVIN
Middle Name:HOWARD
Last Name:LOEFFLER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 N MEILKE RD
Mailing Address - Street 2:
Mailing Address - City:HOLLAND
Mailing Address - State:OH
Mailing Address - Zip Code:43528-8737
Mailing Address - Country:US
Mailing Address - Phone:419-324-5245
Mailing Address - Fax:
Practice Address - Street 1:301 N MEILKE RD
Practice Address - Street 2:
Practice Address - City:HOLLAND
Practice Address - State:OH
Practice Address - Zip Code:43528-8737
Practice Address - Country:US
Practice Address - Phone:419-324-5245
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-05
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care