Individual
DR. KENNETH DUDLEY LOCKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5330 S HIGHWAY 95, FORT MOHAVE, AZ 86426-9225
(928) 788-7069
Mailing address
1660 E LAKESIDE DR # 391, BULLHEAD CITY, AZ 86442-6544
(702) 449-5031
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
3072
AZ
Other
Enumeration date
01/20/2006
Last updated
07/08/2007
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