Individual
MR. KIM R LOCKWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
1947 N FOUNDERS CIR, WICHITA, KS 67206-3548
(316) 613-5380
(316) 838-7574
Mailing address
1947 N FOUNDERS CIR, WICHITA, KS 67206-3548
(316) 613-5380
(316) 838-7574
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
17-00734
KS
225XH1200X
Hand Occupational Therapist
17-00734
KS
Other
Enumeration date
12/30/2005
Last updated
05/27/2025
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