Provider Demographics
NPI:1306723085
Name:LOAKES, KEVIN GEORGE
Entity type:Individual
Prefix:
First Name:KEVIN
Middle Name:GEORGE
Last Name:LOAKES
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27040 PINEHURST RD
Mailing Address - Street 2:
Mailing Address - City:MENIFEE
Mailing Address - State:CA
Mailing Address - Zip Code:92586-3226
Mailing Address - Country:US
Mailing Address - Phone:951-216-9691
Mailing Address - Fax:
Practice Address - Street 1:27040 PINEHURST RD
Practice Address - Street 2:
Practice Address - City:MENIFEE
Practice Address - State:CA
Practice Address - Zip Code:92586-3226
Practice Address - Country:US
Practice Address - Phone:951-216-9691
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-16
Last Update Date:2025-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95427064163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse