Provider Demographics
NPI:1144341900
Name:LOFTUS, KELLY ANN (MD)
Entity type:Individual
Prefix:DR
First Name:KELLY
Middle Name:ANN
Last Name:LOFTUS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:41 UNIVERSITY DR STE 300
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18940-1873
Mailing Address - Country:US
Mailing Address - Phone:215-710-5522
Mailing Address - Fax:215-710-5181
Practice Address - Street 1:1205 LANGHORNE NEWTOWN RD
Practice Address - Street 2:SUITE 302
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047-1222
Practice Address - Country:US
Practice Address - Phone:215-710-5212
Practice Address - Fax:157-105-2132
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-02
Last Update Date:2021-05-13
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Provider Licenses
StateLicense IDTaxonomies
PAMD424551207R00000X, 207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA109309Medicare UPIN