Individual
KAITLYN JADE LOCKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HAS
Contact information
Practice address
2232 SAINT ANDREWS BLVD, PANAMA CITY, FL 32405-2158
(850) 784-4327
Mailing address
405 W HIGHWAY 90, BONIFAY, FL 32425-2519
(850) 373-7174
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
AS5226
FL
Other
Enumeration date
10/13/2016
Last updated
10/13/2016
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