Provider Demographics
NPI:1760287346
Name:LOVEJOY, KIANNA L (CNA)
Entity type:Individual
Prefix:MS
First Name:KIANNA
Middle Name:L
Last Name:LOVEJOY
Suffix:
Gender:
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:191 N MAIN RD
Mailing Address - Street 2:P.O BOX 194
Mailing Address - City:MACY
Mailing Address - State:NE
Mailing Address - Zip Code:68039-6803
Mailing Address - Country:US
Mailing Address - Phone:712-509-3510
Mailing Address - Fax:
Practice Address - Street 1:191 N MAIN RD
Practice Address - Street 2:P.O BOX 194
Practice Address - City:MACY
Practice Address - State:NE
Practice Address - Zip Code:68039-6803
Practice Address - Country:US
Practice Address - Phone:712-509-3510
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-17
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion