Kenneth Locke, PH.D

NPI 1659793867 · on the registry since 2014 · sole proprietor

Practice

Address: 121 W Sweet Ave
University Of Idaho - Child & Youth Study Center
Moscow, ID 83844
Phone: (208) 885-6191
Fax: (208) 885-6188
Organisation at this address: Regents Of The University Of Idaho Child & Youth Study Center
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: 103TC0700X
103TC0700X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2014-01-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho