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NPI Code Detail

MEDICARE: KREG JARED LOVE DO

MEDICARE: KREG JARED LOVE DO
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
1207Q00000XFamily Medicine Physician4812380-1204UT
2207Q00000XFamily Medicine Physician20A19334CA

General Provider Information

NPI Number : 1710123575
Entity Type Code : Individual
Provider Name (Legal Business Name) : KREG JARED LOVE DO
Provider Business Mailing Address
First Line : 88 W CENTER ST
Second Line :
City : LOGAN
State : UT
Zip : 84321-4538
Country : US
Telephone Number : 435-553-4130
Fax Number :
Provider Business Practice Location Address
First Line : 9710 BRIMHALL RD
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93312-2779
Country : US
Telephone Number : 661-829-6747
Fax Number : 661-829-6937
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/29/2008
Last Update Date : 01/13/2026

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Directions to “ KREG JARED LOVE DO” Practice Location

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