Provider Demographics
NPI:1225821507
Name:LOVITT, KEONIA
Entity type:Individual
Prefix:
First Name:KEONIA
Middle Name:
Last Name:LOVITT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2001 POPLAR GROVE ST
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21216-3143
Mailing Address - Country:US
Mailing Address - Phone:240-248-5818
Mailing Address - Fax:
Practice Address - Street 1:2001 POPLAR GROVE ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21216-3143
Practice Address - Country:US
Practice Address - Phone:240-248-5818
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-28
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator