Individual
KIRBY LOCKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5132 W MILL RD, MILWAUKEE, WI 53218-1302
(414) 949-6021
Mailing address
5132 W MILL RD, MILWAUKEE, WI 53218-1302
Taxonomy
Speciality
Code
Description
License number
State
347E00000X
Transportation Broker
Primary
—
—
Other
Enumeration date
03/25/2020
Last updated
03/25/2020
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