Amy Lockhert

Organization Active NPI Family Medicine Physician · Kennett, MO

NPI 1972591964 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1972591964
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
License
2000160888 (MO)
Legal business name
AMY LOCKHERT
Practice address
105 E Washington St
Kennett, MO 63857-2041
Phone
(573) 888-1137
Fax
(573) 888-0920
NPI assigned
Oct 12, 2005
Organization subpart
No

Authorized official

Name
Renee Sparks
Title
Office Manager
Phone
(573) 888-1137

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Amy Lockhert (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207Q00000X 2000160888 MO Yes

Addresses

Primary practice location

105 E Washington St
Kennett, MO 63857-2041

Mailing address

105 E Washington St
Kennett, MO 63857-2041
Phone (573) 888-1137

Other names

  • THE KENNETT CLINIC Doing business as

Other providers in Kennett, MO

All providers in Kennett, MO · Family Medicine Physician in Missouri

Sources for this page

Verify at the official NPI Registry.