Lloyd, Kimberly Gail

Lloyd, Kimberly Gail is an individual health care provider with primary practice located at 1542 Eastpointe Dr , Pocatello ID 83201-5159. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Mental Health, which is considered as her primary health care specialty. Lloyd, Kimberly Gail can be contacted via phone (208) 760-0060.

Contact Information

Primary practice address
1542 Eastpointe Dr Pocatello ID 83201-5159
Phone: (208) 760-0060
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Mental Health 225XM0800X OT-807 Idaho

Profile Details

NPI number 1417269895
LBN Legal business name Lloyd, Kimberly Gail
Credentials MOTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2010
Last updated May 21st, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417269895 NPPES
Idaho MEDICAID 1376865006

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