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Individual
DR. KENNETH EDWARD LOCKLEAR
Active
Individual
DR. KENNETH EDWARD LOCKLEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
000024605
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8952453
—
NC
01
—
TAX ONOMY NUMBER
TAX ONOMY NUMBER
NC
Enumeration date
07/01/2005
Last updated
10/07/2026
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