Individual
KEVIN C LOVERIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
765 N 2200 W, SALT LAKE CITY, UT 84116-2926
(801) 245-2190
Mailing address
765 N 2200 W, UTAH AIR NATIONAL GUARD / 151 MDG, SALT LAKE CITY, UT 84116-2926
(801) 245-2190
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7151945-1206
UT
Other
Enumeration date
11/05/2008
Last updated
11/24/2025
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