Individual
MS. KATHY MCKNIGHT LOCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
1790 MULKEY RD, AUSTELL, GA 30106-1122
(404) 277-0916
(770) 943-9106
Mailing address
3750 CLIFF CREST DR SE, SMYRNA, GA 30080-5877
(404) 277-0916
(770) 943-9106
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
RN114267
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00936218B
—
GA
05
—
00936218D
—
GA
05
—
00936218E
—
GA
Enumeration date
07/14/2005
Last updated
11/15/2018
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