Individual
MEREDITH LOVELESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
210 E GRAY ST STE 600, LOUISVILLE, KY 40202-3902
(502) 629-3730
(502) 629-3734
Mailing address
PO BOX 766351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
D61836
MD
207VG0400X
Gynecology Physician
Primary
42624
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200958150
—
IN
01
—
3743356000
PASSPORT ADVANTAGE # - PSC
KY
01
—
50026136
PASSPORT SPECIALTY -FOUNDATION
KY
01
—
50026137
PASSPORT - PCP -FOUNDATION
KY
01
—
50026138
PASSPORT - PSC SPECIALIST
KY
05
—
7100088370
—
KY
Enumeration date
06/11/2006
Last updated
07/21/2016
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