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NPI Code Detail

MEDICARE: KENDRA LOVELADY

MEDICARE:   KENDRA  LOVELADY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WH0200XHome Health Registered Nurse016126IN

General Provider Information

NPI Number : 1467214593
Entity Type Code : Individual
Provider Name (Legal Business Name) : KENDRA LOVELADY
Provider Business Mailing Address
First Line : 4126 E 10TH ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46201-2613
Country : US
Telephone Number : 317-654-4700
Fax Number : 317-419-2785
Provider Business Practice Location Address
First Line : 4126 E 10TH ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46201-2613
Country : US
Telephone Number : 317-654-4700
Fax Number : 317-419-2785
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2024
Last Update Date : 01/24/2024

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Directions to “ KENDRA LOVELADY ” Practice Location

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