Individual
KATHY LOVELADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9454 LIVE OAK LN, FORT WORTH, TX 76179-4060
(817) 538-7550
Mailing address
9454 LIVE OAK LN, FORT WORTH, TX 76179-4060
(817) 538-7550
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
610258
—
TX
01
—
9140461101
HUMANA GOLD PLUS HMO D-SNP
TX
Enumeration date
04/25/2022
Last updated
04/25/2022
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