Individual
KATHRYN R. LOVELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2001 N GARY AVE STE 240, WHEATON, IL 60187-3055
(630) 416-4501
Mailing address
465 N 300 W APT 22, PROVO, UT 84601-2797
(716) 799-9702
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085-008855
IL
363A00000X
Physician Assistant
10562585-1206
UT
Other
Enumeration date
10/24/2017
Last updated
10/16/2023
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