Individual
KENNETH L LOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
801 S 48TH ST, LINCOLN, NE 68510-3726
(402) 484-5353
(402) 484-5406
Mailing address
801 S 48TH ST, LINCOLN, NE 68510-3726
(402) 484-5353
(402) 484-5406
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1192
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09562
BCBS/NE
NE
05
—
10025209200
—
NE
01
—
4401036
UNITED HEALTH CARE
—
01
—
P00183268
RR MEDICARE
—
Enumeration date
07/29/2005
Last updated
10/01/2012
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