Provider Demographics
NPI:1497023550
Name:LOPER, KALIA TRINACE
Entity Type:Individual
Prefix:
First Name:KALIA
Middle Name:TRINACE
Last Name:LOPER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:174 FALLSTAFF RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29229-8067
Mailing Address - Country:US
Mailing Address - Phone:803-569-9975
Mailing Address - Fax:
Practice Address - Street 1:174 FALLSTAFF RD
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29229-8067
Practice Address - Country:US
Practice Address - Phone:803-569-9975
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-05
Last Update Date:2011-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula