Provider Demographics
NPI:1689471625
Name:LOYD, MICHAEL KENWERD (HADF)
Entity type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:KENWERD
Last Name:LOYD
Suffix:
Gender:
Credentials:HADF
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7757 S OLYMPIA AVE
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74132-1862
Mailing Address - Country:US
Mailing Address - Phone:918-877-4598
Mailing Address - Fax:
Practice Address - Street 1:7757 S OLYMPIA AVE
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74132-1862
Practice Address - Country:US
Practice Address - Phone:918-877-4598
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-27
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1357237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist