Individual
KATHLEEN JOAN LOVELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 CORNING RD, CARY, NC 27518-9229
(919) 431-7400
Mailing address
624 SEALINE DR, CARY, NC 27519-2571
(919) 741-9146
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6893
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1413P
BCBS
NC
01
—
187608
MEDCOST
—
01
—
4600072
UNITED HEALTHCARE
—
05
—
7412512
—
NC
01
—
7522765
AETNA
—
01
—
8300041K
MEDICAID CBRS
NC
Enumeration date
12/18/2006
Last updated
04/09/2026
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