Individual
KATRINA RENEE LOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
26136 US HIGHWAY 59, FAIRFAX, MO 64446
(660) 686-2211
(660) 686-2618
Mailing address
26136 US HIGHWAY 59, FAIRFAX, MO 64446-9105
(660) 686-2211
(660) 686-2618
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2017021975
MO
Other
Enumeration date
03/20/2012
Last updated
02/28/2019
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