Provider Demographics
NPI:1386068922
Name:O'LOUGHLIN, KARA ANN (LM DTCM LAC)
Entity type:Individual
Prefix:DR
First Name:KARA
Middle Name:ANN
Last Name:O'LOUGHLIN
Suffix:
Gender:F
Credentials:LM DTCM LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:735 CATHEDRAL DR
Mailing Address - Street 2:
Mailing Address - City:APTOS
Mailing Address - State:CA
Mailing Address - Zip Code:95003-3408
Mailing Address - Country:US
Mailing Address - Phone:408-497-0229
Mailing Address - Fax:
Practice Address - Street 1:530 OCEAN ST STE A
Practice Address - Street 2:
Practice Address - City:SANTA CRUZ
Practice Address - State:CA
Practice Address - Zip Code:95060-6628
Practice Address - Country:US
Practice Address - Phone:408-497-0229
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-18
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA386176B00000X
CA19747171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No176B00000XOther Service ProvidersMidwife