Individual
MISS LLOYD LEE KIMZEY JR.
Active
Individual
MISS LLOYD LEE KIMZEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
208
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5107
MIDLANDS CHOICE
—
01
—
8264
BCBS DIRECT PROVIDER
—
01
—
96018
BCBS AUXILLIARY PROVIDER
—
Enumeration date
07/07/2006
Last updated
11/26/2007
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