Individual
JERRY W LOCKARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
432 16TH ST, SUITE B, ASHLAND, KY 41101-7693
(606) 329-9335
(606) 324-6383
Mailing address
PO BOX 2379, ASHLAND, KY 41105-2379
(606) 329-9335
(606) 324-6383
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
02431
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0079552000
—
WV
05
—
0129980
—
OH
05
—
64024318
—
KY
Enumeration date
08/31/2005
Last updated
08/04/2011
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