# AMY LOCKHERT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** THE KENNETT CLINIC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972591964
- **Authorized official:** RENEE SPARKS (OFFICE MANAGER)
- **Authorized official phone:** (573) 888-1137

## Contact information

- **Practice address:** 105 E WASHINGTON ST, KENNETT, MO 63857-2041
- **Practice address phone:** (573) 888-1137
- **Practice address fax:** (573) 888-0920
- **Mailing address:** 105 E WASHINGTON ST, KENNETT, MO 63857-2041
- **Mailing address phone:** (573) 888-1137
- **Mailing address fax:** (573) 888-0920

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 2000160888 | MO | Yes |

## Other

- **Enumeration date:** 10/12/2005
- **Last updated:** 08/22/2020