MRS. KIMBERLY T. LOUGH (NPI# 1326001801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326001801 |
Entity Type | Individual |
Full Name | MRS. KIMBERLY T. LOUGH |
Credential | DDS, MS |
Practice Address |
12 Kanawha Ter Suite B Saint Albans WV 25177-2750 |
Practice Telephone | 3047227221 |
Practice Fax Number | 3047220420 |
Mailing Telephone | 3047227221 |
Mailing Fax Number | 3047220420 |
Enumeration Date | 2006-04-07 |
Last Update Date | 2013-01-15 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
3415 | WV | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WV | 4004039000 | 05 |
Street Address |
12 KANAWHA TER SUITE B |
City | SAINT ALBANS |
State | WV |
Zip Code | 25177-2750 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083147375 | Blaire Smith | Pediatrics | 12 Kanawha Ter, Saint Albans, WV 25177-2750 | 2017-04-04 |
1356748404 | Sarah Smith | Counselor | 12 Kanawha Ter, Saint Albans, WV 25177 | 2014-12-04 |
1497195374 | Rita Ramesh Patel | Family Medicine | 12 Kanawha Ter, Saint Albans, WV 25177-2750 | 2013-06-25 |
1215284492 | Jennifer Lynn Ranson | Nurse Practitioner | 12 Kanawha Ter, Saint Albans, WV 25177-2750 | 2012-08-07 |
1902166945 | Womencare Inc | Clinic/Center | 12 Kanawha Ter, Saint Albans, WV 25177-2750 | 2012-05-24 |
1790087187 | Bernard Dean Grose II | Physician Assistant | 12 Kanawha Ter, Saint Albans, WV 25177-2750 | 2010-11-17 |
1770727836 | Shannon Leigh Carpenter | Family Medicine | 12 Kanawha Ter, Saint Albans, WV 25177 | 2009-04-20 |
1922241520 | John Kent Jackfert | Dentist | 12 Kanawha Ter, Suite B, Saint Albans, WV 25177-2750 | 2009-04-13 |
1528208774 | Lucy Kara Shamblin | Family Medicine | 12 Kanawha Ter, Saint Albans, WV 25177-2750 | 2009-03-01 |
1740476357 | Erica R Frye | Physician Assistant | 12 Kanawha Ter, Saint Albans, WV 25177-2750 | 2007-09-18 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366043655 | Lauren E. Anderson | Technician | 414 Lore Street, St. Albans, WV 25177 | 2020-11-04 |
1235730433 | Laura Crist | Technician | 1400 Highland Dr. Apt. #104, St. Albans, WV 25177 | 2020-11-04 |
1750982070 | Kathy Carden | Technician | 2734 Knox. Ave., St. Albans, WV 25177 | 2020-11-03 |
1245837012 | Donald Troy Blum | Pharmacist | 201 Maccorkle Avenue, St. Albans, WV 25177 | 2020-10-05 |
1073022067 | Comprehensive Occupational Med, Physicals, Acad, & Surveillance Sol. | Preventive Medicine | 175 Smiley Drive, St. Albans, WV 25177 | 2017-09-22 |
1104291608 | Melinda K. Henline, Ma, Pllc | Psychologist | 200 Kanawha Terrrace, Suite 103, St. Albans, WV 25177 | 2015-12-09 |
1285075796 | Brandon Tincher | Physical Therapy Assistant | 2501 Mountain View Drive, St. Albans, WV 25177 | 2013-07-12 |
1104129329 | Larry N Pethtel | Pharmacist | 1439 Maccorkle Ave., Saint Albans, WV 25177 | 2010-12-09 |
1952580698 | Behavioral Health Solutions LLC | Community/Behavioral Health | 235 Woods Dr, St Albans, WV 25177 | 2007-10-30 |
1336284520 | Lagrimas Babiera Sadorra | Family Medicine | 200 Kanawha Terrace, St Albans, WV 25177 | 2007-02-21 |
Find all providers in zip 25177 |
Taxonomy Code | 1223P0221X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Pediatric Dentistry |
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861022733 | Erin H Branham Dds Pllc | Dentist | 225 College Pkwy Ste 201, Parkersburg, WV 26104-7655 | 2020-01-20 |
1154713246 | Dr. Cynthia D. Parks Dds, Pllc | Dentist | 601 Venture Dr, Suite 200, Morgantown, WV 26508-7310 | 2015-02-26 |
1124452644 | Katie Steele Dds Pllc, Steele Pediatric Dentistry | Dentist | 204 Kruger St Ste 1, Wheeling, WV 26003-5165 | 2013-09-03 |
1487948741 | Eric J Bailey | Dentist | 3659 Teays Valley Rd, Suite 100, Hurricane, WV 25526-9701 | 2011-06-04 |
1215127881 | Erin Hudgins Branham | Dentist | 414 Alpine St, Mineral Wells, WV 26150-3015 | 2007-07-30 |
1922208867 | Rebecca Johnson Kucera | Dentist | 1489 N Jefferson St, Lewisburg, WV 24901-1187 | 2007-07-19 |
1760501001 | Tracy L. Wilkerson, Dds, Pllc | Dentist | 1400 Kanawha Blvd E, Charleston, WV 25301-3002 | 2007-03-28 |
1639215684 | John Patrick Martin | Dentist | 3659 Teays Valley Road, Suite 100, Hurricane, WV 25526-9701 | 2007-01-29 |
1306912258 | Seyed Moe Momen | Dentist | 9 Chenoweth Drive, Bridgeport, WV 26330 | 2006-11-24 |
1386756054 | Cynthia Denise Parks | Dentist | 7000 Coomb's Farm Drive, Suite 102, Morgantown, WV 26508 | 2006-08-31 |
Find all providers with the same taxonomy |
City | SAINT ALBANS |
Zip Code | 25177 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.