Individual
KIM RENE LOVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
101 S LODER AVE, ENDICOTT, NY 13760-4810
(607) 757-2168
Mailing address
483 W HILL RD, VESTAL, NY 13850-3707
(607) 757-2168
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
542265
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
KVA429
—
NY
Enumeration date
12/04/2013
Last updated
12/04/2013
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