Individual
MR. KENNETH W LOCKER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
13519 LAMBERT LN, ROANOKE, TX 76262-8099
(214) 354-1029
Mailing address
13519 LAMBERT LN, ROANOKE, TX 76262-8099
(214) 354-1029
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT0225
TX
Other
Enumeration date
08/15/2005
Last updated
07/08/2007
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