Individual
KERRY L LOCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
608 AVENUE B, BALLINGER, TX 76821-2406
(325) 365-2531
Mailing address
517 S MAIN ST, RISING STAR, TX 76471-5205
(830) 422-1535
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
F9745
TX
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
F9745
TX
207Q00000X
Family Medicine Physician
F9745
TX
Other
Enumeration date
05/24/2006
Last updated
02/09/2024
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