Individual
MRS. KELLY LOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1850 S BYRON BUTLER PKWY, PERRY, FL 32348
(850) 223-2578
(850) 223-3047
Mailing address
2804 REMINGTON GREEN CIR STE 2, TALLAHASSEE, FL 32308-1550
(850) 385-4494
(850) 298-6054
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
25088
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019726200
—
FL
Enumeration date
01/04/2017
Last updated
01/17/2022
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