Provider Demographics
NPI:1659352888
Name:KIEFT, LLOYD RICHARD JR (ATC)
Entity Type:Individual
Prefix:MR
First Name:LLOYD
Middle Name:RICHARD
Last Name:KIEFT
Suffix:JR
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5020 ASPEN DR
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48917-4030
Mailing Address - Country:US
Mailing Address - Phone:517-323-7747
Mailing Address - Fax:517-886-3803
Practice Address - Street 1:5020 ASPEN DR
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48917-4030
Practice Address - Country:US
Practice Address - Phone:517-323-7747
Practice Address - Fax:517-886-3803
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI8009822255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer