MRS. KELLY LOVE (NPI# 1750826590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750826590 |
| Entity Type | Individual |
| Full Name | MRS. KELLY LOVE |
| Other Name | KELLY ANGUISH |
| Credential | RDH |
| Practice Address |
616 S Jefferson St Perry FL 32347-4115 |
| Mailing Address |
2804 Remington Green Cir Ste 2 Tallahassee FL 32308-1550 |
| Practice Telephone | 8502232578 |
| Practice Fax Number | 8502233047 |
| Mailing Telephone | 8503854494 |
| Mailing Fax Number | 8502986054 |
| Enumeration Date | 2017-01-04 |
| Last Update Date | 2017-08-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 25088 | FL | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 019726200 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871009712 | Kelly Love | Registered Nurse | 77 W Underwood St, Ste 200, Orlando, FL 32806-1122 | 2017-12-14 |
| 1144666082 | Kelly Leigh Love | Nurse Practitioner | 1514 1st St N, Winter Haven, FL 33881-2476 | 2013-05-20 |
| 1043468994 | Kelly Brey Love | Psychologist | 4501 S 70th St, Suite 120, Lincoln, NE 68516-4276 | 2008-09-04 |
| Street Address |
616 S JEFFERSON ST |
| City | PERRY |
| State | FL |
| Zip Code | 32347-4115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922043215 | Donna M Schippers | Family Medicine | 616 S Jefferson St, Perry, FL 32347-4115 | 2006-06-19 |
| 1053972257 | Dominique Levon Durham | Dentist | 616 S Jefferson St, Perry, FL 32347-4115 | 2019-06-27 |
| 1710379706 | Angela Loualan Morgan | Registered Nurse | 616 S Jefferson St, Perry, FL 32347-4115 | 2015-02-27 |
| 1083049738 | Diane S Holladay | Nurse Practitioner | 616 S Jefferson St, Perry, FL 32347-4115 | 2013-09-12 |
| 1255526638 | North Florida Medical Centers Inc | Clinic/Center | 616 S Jefferson St, Perry, FL 32347-4115 | 2007-09-10 |
| 1639379480 | Pamela J Morgan | Nurse Practitioner | 616 S Jefferson St, Perry, FL 32347-4115 | 2007-07-20 |
| 1205943164 | Diane A Schlick Do LLC | Family Medicine | 616 S Jefferson St, Perry, FL 32347-4115 | 2006-08-24 |
| 1801807615 | Sharon A Schlick | Physician Assistant | 616 S Jefferson St, Perry, FL 32347-4115 | 2006-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225250764 | Advance Speech and Language Center | Speech-Language Pathologist | 214 North Washington Street, Perry, FL 32347 | 2007-05-03 |
| 1043386865 | Doctors Memorial Hospital | Radiology | Doctors Memorial Hospital, 333 N Byron Butler Parkway, Perry, FL 32347 | 2006-11-24 |
| 1467472282 | Firas A Hamdan | Otolaryngology | 1224 N Peacock Ave, Perry, FL 32347 | 2006-07-21 |
| 1841229333 | Miles V Nelson | Surgery | 1218 N Peacock Ave, Perry, FL 32347 | 2006-06-30 |
| 1679518187 | Diane A Schlick | Family Medicine | 616 S Jefferson Street, Perry, FL 32347 | 2006-06-18 |
| 1609233170 | Rachel Gilliam | Occupational Therapy Assistant | 207 Marshall Dr, Perry, FL 32347 | 2016-01-28 |
| 1184041741 | Pamela Sauls | Family Medicine | 315 E Ash St, Perry, FL 32347 | 2014-03-20 |
| 1356664924 | Jacqueline Bailey | Speech-Language Pathologist | 207 Marshall Dr, Perry, FL 32347 | 2010-03-10 |
| 1831511070 | Rebecca Carroll Wambolt | Speech-Language Pathologist | 1835 Oak Ridge Ln, Perry, FL 32347-0610 | 2014-01-07 |
| 1871130856 | Carestandard Corporation | Family Medicine | 688 A B Murphy Rd, Perry, FL 32347-0810 | 2019-12-09 |
| Find all providers in zip 32347 | ||||
| Taxonomy Code | 124Q00000X |
| Grouping | Dental Providers |
| Classification | Dental Hygienist |
| An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164037453 | Mary Kate Pace | Dental Hygienist | 1115 N Eglin Pkwy, Shalimar, FL 32579-1228 | 2020-09-13 |
| 1578173910 | Kimberly Beck | Dental Hygienist | 18030 Sandtrap Dr, Naples, FL 34114-7596 | 2020-07-31 |
| 1962012328 | Melody Jean Garcia | Dental Hygienist | Navy Medicene Support Command : Medical Staff Services, Bldg H, 2005 Knight Lane, Jacksonville, FL 32221-0140 | 2020-07-31 |
| 1043829385 | Mailyn Cortes | Dental Hygienist | 1134 Sw 12th Ct, Miami, FL 33135-5418 | 2020-07-22 |
| 1841817988 | Polly Ward | Dental Hygienist | 1022 Main St Ste P, Dunedin, FL 34698-5225 | 2020-07-04 |
| 1760007959 | Leanne Crist Nichol | Dental Hygienist | 6957 Boulder Run Loop, Wesley Chapel, FL 33545-4854 | 2020-06-12 |
| 1124641337 | Rhoda P Kublickis | Dental Hygienist | 274 Tropic Dr, Lauderdale By The Sea, FL 33308-5428 | 2020-05-21 |
| 1306468533 | Heather Paul | Dental Hygienist | 8839 Handel Loop, Land O Lakes, FL 34637 | 2020-05-11 |
| 1902426729 | Jose Dalby Contreras | Dental Hygienist | 690 Sw 1st Ct Apt 2319, Miami, FL 33130-2927 | 2020-04-22 |
| 1659991974 | Maggie Cruciata | Dental Hygienist | 974 International Pkwy, Lake Mary, FL 32746-5219 | 2020-04-17 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.