Individual
KELLI LOCKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
225 NEW LANCASTER RD, LEOMINSTER, MA 01453-4958
(978) 466-3208
(978) 840-1680
Mailing address
225 NEW LANCASTER RD, LEOMINSTER, MA 01453-4958
(978) 466-3208
(978) 840-1680
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN2266517
MA
363LF0000X
Family Nurse Practitioner
Primary
RN2266517
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110110519A
—
MA
Enumeration date
07/17/2015
Last updated
07/11/2024
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