License holder summary

Kelly Tay Locke is a Medical - Physician licensed to practice in Colorado. The address on file for Kelly Tay Locke is Locke Family Medicine, 1450 East Valley Road, Ste 101, Basalt, CO, 81621-1621. This licensed professional license is current. The license was granted 07/22/1999 and expired on 04/30/2015.

Colorado

Division of Professions and Occupations

Kelly Tay Locke
Medical - Physician
License number
38023
Date granted
07/22/1999
Date expires
04/30/2015
Class
Medical - Physician
Status
Active
Address
Locke Family Medicine, 1450 East Valley Road, Ste 101, Basalt, CO, 81621-1621
coloradolicensing.org
ID 27419753
LAST UPDATED 2024-03-19 17:33:21 UTC

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