KELLY LOCK

BEAUMONT, TX
NPI1003828575
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: TX  PA04685)
Enumeration Date2006-08-13
Last Update Date2022-07-21
Business Address
-- KELLY LOCK PA-C
6450 FOLSOM DR
BEAUMONT, TX 77706-7269
Phone number: 409-835-0524
Mailing Address
-- KELLY LOCK PA-C
1220 HILLSIDE LN
LUMBERTON, TX 77657-9056
Phone number: 409-755-0980
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