Basic Information
Provider Information
NPI: 1518601426
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LOEHR
FirstName: KARI
MiddleName: L
NamePrefix:  
NameSuffix:  
Credential: AUD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 5546
Address2:  
City: DENVER
State: CO
PostalCode: 802175546
CountryCode: US
TelephoneNumber: 8014753482
FaxNumber: 8014753494
Practice Location
Address1: 1551 RENAISSANCE TOWNE DR STE 310
Address2:  
City: BOUNTIFUL
State: UT
PostalCode: 840107671
CountryCode: US
TelephoneNumber: 8012955581
FaxNumber: 8012959253
Other Information
ProviderEnumerationDate: 04/26/2022
LastUpdateDate: 05/17/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 05/17/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
231H00000X12851042-4101UTY Speech, Language and Hearing Service ProvidersAudiologist 

No ID Information.


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