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Individual

DR. JAMES WILSON LOVELESS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
D0065487
MD
207NS0135X
Procedural Dermatology Physician
D0065487
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0602254
CIGNA
KY
01
1488409
MEDICARE
KY
01
9881202
AETNA
KY
01
P00740002
MEDICARE RAIL ROAD
KY
Enumeration date
01/23/2007
Last updated
06/09/2020
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