Individual
DR. KELLY TAY LOCKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
401 CASTLE CREEK RD, ASPEN, CO 81611-1159
(970) 279-4111
Mailing address
401 CASTLE CREEK RD, ASPEN, CO 81611-1159
(970) 279-4111
(970) 927-3915
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
210985
AK
207Q00000X
Family Medicine Physician
Primary
38023
CO
Other
Enumeration date
05/27/2005
Last updated
10/18/2023
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