Healthcare Provider Details

I. General information

NPI: 1184871931
Provider Name (Legal Business Name): KATHRYN LOOMIS L.AC.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/23/2008
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 W ESPLANADE AVE STE 701
KENNER LA
70065-2581
US

IV. Provider business mailing address

3221 AUDUBON TRCE
JEFFERSON LA
70121-1563
US

V. Phone/Fax

Practice location:
  • Phone: 505-703-8463
  • Fax:
Mailing address:
  • Phone: 508-358-8988
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number000007
License Number StateCT
# 2
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number321537
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: