Individual
KELLI R LOVELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
1551 RENAISSANCE TOWNE DR, BOUNTIFUL, UT 84010
(801) 295-5581
(801) 295-9253
Mailing address
PO BOX 5546, DENVER, CO 80217-5546
(801) 475-3481
(801) 475-3414
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
10362664-4103
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346776127
—
UT
Enumeration date
05/11/2017
Last updated
08/09/2018
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