Individual
KELLI LOVELACE
Active
Individual
KELLI LOVELACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
23483
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200124080A
—
OK
01
—
23483
MEDICAL LICENSE
OK
01
—
7255935
AETNA HMO
—
01
—
P00444180
RAILROAD MEDICARE
—
Enumeration date
02/06/2007
Last updated
04/13/2026
Update your record
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