Organization
AMY LOCKHERT
Active
Other names
THE KENNETT CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE SPARKS (OFFICE MANAGER)
(573) 888-1137
Entity
Organization
Contact information
Practice address
105 E WASHINGTON ST, KENNETT, MO 63857-2041
(573) 888-1137
(573) 888-0920
Mailing address
105 E WASHINGTON ST, KENNETT, MO 63857-2041
(573) 888-1137
(573) 888-0920
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2000160888
MO
Other
Enumeration date
10/12/2005
Last updated
08/22/2020
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