DR. KENNETH DUDLEY LOCKE (NPI# 1518947886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518947886 |
| Entity Type | Individual |
| Full Name | DR. KENNETH DUDLEY LOCKE |
| Credential | DO |
| Practice Address |
5330 S Highway 95 Fort Mohave AZ 86426-9225 |
| Mailing Address |
1660 E Lakeside Dr # 391 Bullhead City AZ 86442-6544 |
| Practice Telephone | 9287887069 |
| Mailing Telephone | 7024495031 |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 3072 | AZ | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659793867 | Kenneth Locke | Psychologist | 121 W Sweet Ave, University of Idaho - Child & Youth Study Center, Moscow, ID 83844-4061 | 2014-01-08 |
| 1124054044 | Kenneth Rudolph Locke | Psychiatry & Neurology | 1600 W 24th St, Pueblo, CO 81003-1411 | 2006-06-23 |
| Street Address |
5330 S HIGHWAY 95 |
| City | FORT MOHAVE |
| State | AZ |
| Zip Code | 86426-9225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568456473 | Andres Alvarado | Anesthesiology | 5330 S Highway 95, Fort Mohave, AZ 86426-9225 | 2005-09-07 |
| 1265067920 | Rachel Otis | Spec/Tech, Pathology | 5330 S Highway 95, Fort Mohave, AZ 86426-9225 | 2020-03-03 |
| 1144704933 | Kristen Peddycord | Nurse Practitioner | 5330 S Highway 95, Fort Mohave, AZ 86426-9225 | 2018-09-18 |
| 1649766981 | Phc-fort Mohave Inc | Medicare Defined Swing Bed Unit | 5330 S Highway 95, Fort Mohave, AZ 86426-9225 | 2018-07-10 |
| 1285163121 | Nes Arizona Inc | Emergency Medicine | 5330 S Highway 95, Fort Mohave, AZ 86426 | 2017-06-05 |
| 1316483720 | Radiologic Associates of Northwest Arizona Plc | Radiology | 5330 S Highway 95, Fort Mohave, AZ 86426-9225 | 2017-01-09 |
| 1962959767 | Em Medical Management of Fort Mohave, LLC | Emergency Medicine | 5330 S Highway 95, Fort Mohave, AZ 86426-9225 | 2016-09-08 |
| 1598157745 | Fort Mohave Emergency Medical Associates Inc | Emergency Medicine | 5330 S Highway 95, Fort Mohave, AZ 86426-9225 | 2015-02-25 |
| 1316354400 | Nathan Ethridge | Physician Assistant | 5330 S Highway 95, Fort Mohave, AZ 86426-9225 | 2014-07-21 |
| 1154758043 | Valley View Emergency Group LLC | Emergency Medicine | 5330 S Highway 95, Fort Mohave, AZ 86426-9225 | 2013-10-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831740687 | Melissa Janos | Pharmacist | 4823 S, Az-95, Fort Mojave, AZ 86426 | 2019-09-24 |
| 1659774909 | Nicole Eileen Cash | Nurse Practitioner | 5653 S Highway 95 Ste A, Fort Mohave, AZ 86426 | 2014-10-01 |
| 1780009621 | Valley View Physician Practices, LLC | Physical Medicine & Rehabilitation | 5300 S. Highway 95, Ste. D., Ft. Mohave, AZ 86426 | 2014-03-02 |
| 1982840872 | Leticia Alcala | Massage Therapist | 5455 Hwy 95, Fort Mohave, AZ 86426 | 2008-12-23 |
| 1730387432 | Steven Dewayne Smart | Physical Therapist | 1988 Gemini St, Fort Mohave, AZ 86426 | 2007-07-05 |
| 1154543569 | Jonathan M. Brown, D.o., P.C. | Otolaryngology | 5300 South Highway 95, Suite M, Fort Mohave, AZ 86426 | 2007-05-03 |
| 1205931839 | Jennifer Lind Womack | Dietitian, Registered | 5300 S. Highway 95 Ste A, Fort Mohave, AZ 86426 | 2006-09-14 |
| 1053421057 | Kaye A Cunningham Md PC | Family Medicine | 5653 Hwy 95, Suite A, Fort Mohave, AZ 86426 | 2006-08-30 |
| 1780790576 | American Medical Imaging Inc | Radiology | 1517 E Aztec Ln, Fort Mohave, AZ 86426 | 2006-08-22 |
| 1902833817 | Allen E Stout | Chiropractor | 5130 Hwy 95, Fort Mohave, AZ 86426 | 2006-06-27 |
| Find all providers in zip 86426 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871542027 | Ringtail Emergency Physicians | Emergency Medicine | 5530 Hwy 95, Fort Mohave, AZ 86426-9232 | 2006-05-07 |
| 1285163121 | Nes Arizona Inc | Emergency Medicine | 5330 S Highway 95, Fort Mohave, AZ 86426 | 2017-06-05 |
| 1962959767 | Em Medical Management of Fort Mohave, LLC | Emergency Medicine | 5330 S Highway 95, Fort Mohave, AZ 86426-9225 | 2016-09-08 |
| 1598157745 | Fort Mohave Emergency Medical Associates Inc | Emergency Medicine | 5330 S Highway 95, Fort Mohave, AZ 86426-9225 | 2015-02-25 |
| 1154758043 | Valley View Emergency Group LLC | Emergency Medicine | 5330 S Highway 95, Fort Mohave, AZ 86426-9225 | 2013-10-09 |
| 1386944619 | Emergency Medicine Physicians of Mohave County, Pllc | Emergency Medicine | 5330 S Highway 95, Fort Mohave, AZ 86426-9225 | 2010-11-03 |
| 1992992747 | Emergency Physicians Medical Group Inc | Emergency Medicine | 5330 S Highway 95, Fort Mohave, AZ 86426-9225 | 2007-09-26 |
| 1134142664 | Mark E Laursen | Emergency Medicine | 5330 S Highway 95, Fort Mohave, AZ 86426-9225 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627815 | Fep Ncch | Emergency Medicine | 8825 N 23rd Ave Ste 100, Phoenix, AZ 85021-4148 | 2020-10-22 |
| 1780202804 | Cep America- Arizona, PC | Emergency Medicine | 1405 S. Alma School Rd., Chandler, AZ 85286 | 2020-07-07 |
| 1932755006 | Ucc Tucson Holdings, LLC. | Emergency Medicine | 18773 S Nogales Hwy Ste 125, Green Valley, AZ 85614-0403 | 2019-08-14 |
| 1831652189 | Derek Allan Hatfield | Emergency Medicine | 1625 N Campbell Ave., Tucson, AZ 85719 | 2019-04-12 |
| 1053874305 | Travis Patrick Martin | Emergency Medicine | 1625 N. Campbell Ave, Tucson, AZ 85719 | 2019-04-12 |
| 1245793504 | Martin Cisneroz | Emergency Medicine | 1625 North Campbell Avenue, Tucson, AZ 85719 | 2019-04-12 |
| 1174086722 | Sarah Joy Ring | Emergency Medicine | 1625 N. Campbell Ave., Tucson, AZ 85719 | 2019-04-10 |
| 1386106391 | Joshua Lee Price | Emergency Medicine | 708 S Coeur D Alene Ln Ste A, Payson, AZ 85541-5662 | 2019-04-01 |
| 1346708708 | Colonna Physician Services LLC | Emergency Medicine | 4030 N Stockton Hill Rd Ste 3, Kingman, AZ 86409-2452 | 2019-03-05 |
| 1609304633 | Vincent Guarino | Emergency Medicine | 5700 E, Az-90, Sierra Vista, AZ 85635 | 2017-06-04 |
| Find all providers with the same taxonomy | ||||
| City | FORT MOHAVE |
| Zip Code | 86426 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.