Provider Demographics
NPI:1497190003
Name:LOVEDAY, KECIA L (RN)
Entity Type:Individual
Prefix:
First Name:KECIA
Middle Name:L
Last Name:LOVEDAY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 E CREEK ST
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:OK
Mailing Address - Zip Code:73448-4021
Mailing Address - Country:US
Mailing Address - Phone:580-238-0238
Mailing Address - Fax:
Practice Address - Street 1:301 E CREEK ST
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:OK
Practice Address - Zip Code:73448-4021
Practice Address - Country:US
Practice Address - Phone:580-238-0238
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-09
Last Update Date:2013-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKR0090246163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health