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Individual

DR. KENDRA JANE LOCKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4105 BRIARGATE PKWY STE 125, COLORADO SPRINGS, CO 80920-3482
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DR.0065720
CO
207Q00000X
Family Medicine Physician
MD467115
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
029201
KASIER COMMERCIAL NUMBER
CO
05
9000195727
CO
Enumeration date
05/26/2016
Last updated
02/27/2025
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