Provider Demographics
NPI:1053625814
Name:LLOYD, KATHI PAULYNE (MPA)
Entity type:Individual
Prefix:MRS
First Name:KATHI
Middle Name:PAULYNE
Last Name:LLOYD
Suffix:
Gender:F
Credentials:MPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 EVERGREEN LN
Mailing Address - Street 2:
Mailing Address - City:ELMA
Mailing Address - State:WA
Mailing Address - Zip Code:98541-9337
Mailing Address - Country:US
Mailing Address - Phone:360-482-2786
Mailing Address - Fax:
Practice Address - Street 1:101 EVERGREEN LN
Practice Address - Street 2:
Practice Address - City:ELMA
Practice Address - State:WA
Practice Address - Zip Code:98541-9337
Practice Address - Country:US
Practice Address - Phone:360-482-2786
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-03
Last Update Date:2010-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator