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Amy Lockhert

Family Medicine in Kennett, MO. Organization (NPI-2).

NPI number1972591964
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1972591964
Entity type
Organization (NPI-2)
Legal business name
Amy Lockhert
Organization subpart
No
Enumeration date
Oct 12, 2005
Last updated
Aug 22, 2020

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine2000160888MOYes

Other names

  • The Kennett Clinic (Doing Business As)

Practice location

105 E Washington St
Kennett, MO 63857-2041

Phone 573-888-1137 · Fax 573-888-0920

Mailing address

105 E Washington St
Kennett, MO 63857-2041

Phone 573-888-1137 · Fax 573-888-0920

Authorized official

Renee Sparks
Office Manager
5738881137

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Family Medicine Physician providers in Kennett, MO

All 14 Family Medicine Physician providers in Kennett · All 955 providers in Kennett

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