Healthcare Provider Details

I. General information

NPI: 1437469418
Provider Name (Legal Business Name): MS. KRISTEN ESTHER LOVE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/08/2010
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

130 W 2ND ST
SALIDA CO
81201-2045
US

IV. Provider business mailing address

PO BOX 1098
SALIDA CO
81201-1098
US

V. Phone/Fax

Practice location:
  • Phone: 970-799-5198
  • Fax:
Mailing address:
  • Phone: 970-799-5198
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCSW.09923826
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: