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Organization

AMY R LOCKHERT

Active
Other names
The Kennett Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
DR. AMY R LOCKHERT M.D. (PRESIDENT/PHYSICIAN)
(573) 888-1137
Entity
Organization

Contact information

Practice address
105 E WASHINGTON ST, KENNETT, MO 63857-2041
(573) 888-1137
Mailing address
105 E WASHINGTON ST, KENNETT, MO 63857-2041
(573) 888-1137

Taxonomy

Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
595423609
MO
Enumeration date
02/28/2008
Last updated
09/03/2010
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