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NPI Code Detail

MEDICARE: KORY LOFTIS

MEDICARE: KORY LOFTIS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1730668369
Entity Type Code : Individual
Provider Name (Legal Business Name) : KORY LOFTIS
Provider Business Mailing Address
First Line : 847 S DOGWOOD ST
Second Line :
City : SILOAM SPRINGS
State : AR
Zip : 72761-3915
Country : US
Telephone Number : 479-524-3191
Fax Number :
Provider Business Practice Location Address
First Line : 847 S DOGWOOD ST
Second Line :
City : SILOAM SPRINGS
State : AR
Zip : 72761-3915
Country : US
Telephone Number : 479-524-3191
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2018
Last Update Date : 08/14/2018

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Directions to “ KORY LOFTIS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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