Individual
THOMAS ROBERT LOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 ASHLAND DR STE 103, ASHLAND, KY 41101-7092
(606) 324-0098
(606) 324-0315
Mailing address
1735 27TH ST STE B06, PORTSMOUTH, OH 45662-2681
(740) 356-7942
(740) 356-7851
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
25675
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0257707
—
OH
05
—
64256753
—
KY
01
—
90040452
MEDICAID SUPPLIER NUMBER
KY
Enumeration date
06/30/2005
Last updated
12/22/2020
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