Provider Demographics
NPI:1083943351
Name:LOVELESS, WILLIAM KYLE (DC)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:KYLE
Last Name:LOVELESS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1730 MATTHEWS TOWNSHIP PKWY
Mailing Address - Street 2:SUITE C
Mailing Address - City:MATTHEWS
Mailing Address - State:NC
Mailing Address - Zip Code:28105-4927
Mailing Address - Country:US
Mailing Address - Phone:704-844-6368
Mailing Address - Fax:704-844-6369
Practice Address - Street 1:1730 MATTHEWS TOWNSHIP PKWY
Practice Address - Street 2:SUITE C
Practice Address - City:MATTHEWS
Practice Address - State:NC
Practice Address - Zip Code:28105-4927
Practice Address - Country:US
Practice Address - Phone:704-844-6368
Practice Address - Fax:704-844-6369
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-16
Last Update Date:2010-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4059111N00000X
FLCH9859111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor