Provider Demographics
NPI:1043327190
Name:KAPP, LLOYD MCCRARY JR (MD, FAAP)
Entity Type:Individual
Prefix:DR
First Name:LLOYD
Middle Name:MCCRARY
Last Name:KAPP
Suffix:JR
Gender:M
Credentials:MD, FAAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 CLEMSON RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29229-4341
Mailing Address - Country:US
Mailing Address - Phone:803-788-6146
Mailing Address - Fax:803-462-0312
Practice Address - Street 1:16 WOODCROSS DR
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29212-2331
Practice Address - Country:US
Practice Address - Phone:803-732-0140
Practice Address - Fax:803-732-4848
Is Sole Proprietor?:No
Enumeration Date:2006-08-24
Last Update Date:2013-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC21845208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC218455Medicaid