| Dr Kenneth Dudley Locke, DO | |
|
5330 S Highway 95, Fort Mohave, AZ 86426-9225 | |
| (928) 788-7069 | |
| Not Available |
| Full Name | Dr Kenneth Dudley Locke |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 40 Years |
| Location | 5330 S Highway 95, Fort Mohave, Arizona |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518947886 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 3072 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Valley View Medical Center | Fort mohave, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Emergency Physicians Southwest Pc | 2264538529 | 75 |
| Entity Name | Tempe Emergency Physicians Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376934315 PECOS PAC ID: 2365337300 Enrollment ID: O20040218000500 |
| Entity Name | Emergency Physicians Southwest Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912053752 PECOS PAC ID: 2264538529 Enrollment ID: O20070502000382 |
| Entity Name | Nes Arizona Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205217700 PECOS PAC ID: 2163737206 Enrollment ID: O20150818005113 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kenneth Dudley Locke, DO 1660 E Lakeside Dr # 391, Bullhead City, AZ 86442-6544 Ph: (702) 449-5031 | Dr Kenneth Dudley Locke, DO 5330 S Highway 95, Fort Mohave, AZ 86426-9225 Ph: (928) 788-7069 |
Dr. Nathaniel Charles Hollister, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5330 S Highway 95, Fort Mohave, AZ 86426 Phone: 928-788-2273 | |
Dr. Mark E Laursen, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 5330 S Highway 95, Fort Mohave, AZ 86426 Phone: 928-788-7064 |