# KIMBERLEY R. LOVELACE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1629293493
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | \# 390200000X | TN | — |
| 207W00000X | Ophthalmology Physician | 50588-20 | WI | Yes |
| 207W00000X | Ophthalmology Physician | DR.51421 | CO | — |

## Other

- **Enumeration date:** 04/16/2007
- **Last updated:** 05/02/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 78572223 | — | CO |