Kelly Lock is a Physician Assistant in Beaumont, Texas. Kelly Lock practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kelly Lock is 1003828575. The last update date is 2022-07-21.
Kelly Lock's current location address is 6450 Folsom Dr, Beaumont, Texas. You can contact this provider via phone number 4098350524 and fax number 4098350632. The mailing address for Kelly Lock is 6450 Folsom Dr, Beaumont, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly Lock |
|---|---|
| Address | 6450 Folsom Dr, Beaumont, Texas |
| Phone Number | 4098350524 |
| Fax Number | 4098350632 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1003828575 |
|---|---|
| Provider Enumeration Date | 2006-08-13 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 6450 Folsom Dr |
|---|---|
| City | Beaumont |
| State | Texas (TX) |
| Post Code | 777067269 |
| Phone Number | 4098350524 |
| Fax Number | 4098350632 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA04685 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Post Comment/ Review Below
What is the unique identifier code issued to Kelly Lock by the Centers for Medicare & Medicaid Services (CMS)?
The Kelly Lock has been assigned the NPI (National Provider Identifier) 1003828575. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Kelly Lock located?
The Kelly Lock is located at 6450 Folsom Dr, Beaumont, TX 777067269.
What is Kelly Lock's area of expertise and its corresponding taxonomy classification?
The Kelly Lock's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1003828575 to Kelly Lock?
The Centers for Medicare & Medicaid Services originally issued the 1003828575 to Kelly Lock on 2006-08-13.
As of what date was the information pertaining to Kelly Lock, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Kelly Lock, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2022-07-21.