Individual
MRS. KYMBERLY DANIELLE LOCKARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
505 E GRANT ST STE 103, MACOMB, IL 61455-3308
(309) 833-1303
(309) 836-5729
Mailing address
505 E GRANT ST STE 103, MACOMB, IL 61455-3308
(309) 833-1303
(309) 836-5729
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
209025649
IL
Other
Enumeration date
09/02/2022
Last updated
09/02/2022
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