Individual
KATHLEEN JUDE LOCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2700 PARKWOOD AVENUE, CHATTANOOGA, TN 37404
(423) 624-1533
(662) 568-3360
Mailing address
2717 EAST OAKLAND AVENUE, JOHNSON CITY, TN 37601-1843
(423) 926-2358
(423) 926-2680
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19614
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05923271
—
MS
Enumeration date
02/22/2007
Last updated
01/09/2024
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