National Provider Identifier

Kervand Loiseau

Kervand Loiseau is listed in the NPPES registry with a primary specialty of Health Educator in Webster, NY and a listed phone number of (904) 514-8976.

NPI 1356994826Webster, NYHealth Educator

Profile Overview

NPI
1356994826
Provider Type
Individual
Primary Specialty
Health Educator
Enumeration Date
July 23, 2019
Last Updated
June 18, 2021

Practice Location

  • 1553 Rosa Cir
  • Webster, NY 14580-9670

Phone: (904) 514-8976

Mailing Address

  • 75 Fountain St
  • Providence, RI 02902-0050

Specialties

  • Health Educator (174H00000X)
Full Record
NPI
1356994826
Entity Type
Individual
Last Name
Loiseau
First Name
Kervand
Mailing Street Address
75 Fountain St
Mailing City
Providence
Mailing State
RI
Mailing ZIP Code
02902-0050
Mailing Country
US
Mailing Phone
(904) 514-8976
Practice Street Address
1553 Rosa Cir
Practice City
Webster
Practice State
NY
Practice ZIP Code
14580-9670
Practice Country
US
Practice Phone
(904) 514-8976
Enumeration Date
July 23, 2019
Last Updated
June 18, 2021
Sex
Male
Sole Proprietor
Yes
Certification Date
June 18, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Health Educator (174H00000X)