Individual
MARY KATHRYN LOCKLEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
312 S 4TH ST STE 700, LOUISVILLE, KY 40202-3046
(502) 804-5495
(833) 563-1715
Mailing address
312 S 4TH ST STE 700, LOUISVILLE, KY 40202-3046
(502) 804-5495
(833) 563-1715
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
223461
NC
363LF0000X
Family Nurse Practitioner
Primary
5015559
NC
Other
Enumeration date
12/15/2021
Last updated
11/10/2025
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