Last Name

First Name

Specialty

Clinic Name

Address

City

ST

Zip

Telephone

SHARP Effective Date

Jain

Dave

Internal Medicine

Dave Jain, D.O., P.C.

201 Floyd Street

Kennett

MO

63857

573-888-4226

7/1/96

Lockhert

Dale

Internal Medicine

Dale Lockhert, M.D.

105 East Washington St

Kennett

MO

63857

573-888-1137

10/15/2000