Provider Demographics
NPI:1487712451
Name:LORINGER, KELLY A (ND, MPH)
Entity type:Individual
Prefix:DR
First Name:KELLY
Middle Name:A
Last Name:LORINGER
Suffix:
Gender:F
Credentials:ND, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 KENNERSLEY FARM LN
Mailing Address - Street 2:
Mailing Address - City:CHURCH HILL
Mailing Address - State:MD
Mailing Address - Zip Code:21623-1254
Mailing Address - Country:US
Mailing Address - Phone:413-695-6325
Mailing Address - Fax:
Practice Address - Street 1:420 KENNERSLEY FARM LN
Practice Address - Street 2:
Practice Address - City:CHURCH HILL
Practice Address - State:MD
Practice Address - Zip Code:21623-1254
Practice Address - Country:US
Practice Address - Phone:413-695-6325
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-04
Last Update Date:2024-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1071175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath