Kelly Lock, PA-C

NPI #1003828575 in Beaumont, Texas

Provider Information

NPI Number: 1003828575
Entity Type: Individual
Name: Kelly Lock, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Aug 13, 2006
Last Updated: Jul 21, 2022

Practice Location

Address: 6450 FOLSOM DR
City: Beaumont
State: Texas
ZIP Code: 77706-7269
Phone: (409) 835-0524

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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