Individual
MS. KIMBERLY ANNE LOVELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPH RD LD
Contact information
Practice address
1245 ELM ST, MANCHESTER, NH 03101-1308
(603) 668-6629
(603) 622-7680
Mailing address
1245 ELM ST, MANCHESTER, NH 03101-1308
(603) 668-6629
(603) 622-7680
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
322
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27Y008239NH01
ANTHEM
NH
01
—
6161884
CIGNA
NH
01
—
AA31382
HARVARD PILGRIM
NV
Enumeration date
10/20/2006
Last updated
07/08/2007
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