Individual
MISS LLOYD LEE KIMZEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
220 W LEOTA ST, SUITE 200, NORTH PLATTE, NE 69101-6293
(308) 534-4872
(308) 534-5653
Mailing address
220 W LEOTA ST, SUITE 200, NORTH PLATTE, NE 69101-6293
(308) 534-4872
(308) 534-5653
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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