# DR. KIMBERLY KAY LOCKHART

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1265408157
- **Gender:** F
- **Credential:** D.C.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | X007027-1 | NY | Yes |

## Other

- **Enumeration date:** 02/28/2006
- **Last updated:** 07/01/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 10033814 | CDPHP | NY |
| 01 | — | 98L254 | MVP | NY |
| 01 | — | CO70278 | WORKER'S COMP | NY |
| 01 | — | X59961 | BC/BS | NY |