Provider Demographics
NPI:1699175653
Name:LOVELACE, LINDA KAY (MEDICAL TRANSPORT)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:KAY
Last Name:LOVELACE
Suffix:
Gender:F
Credentials:MEDICAL TRANSPORT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 21913
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93390-1913
Mailing Address - Country:US
Mailing Address - Phone:661-805-7189
Mailing Address - Fax:
Practice Address - Street 1:7713 REVELSTOKE WAY
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309-5315
Practice Address - Country:US
Practice Address - Phone:661-805-7189
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-27
Last Update Date:2014-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle