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Individual

DR. KIMBERLY KAY LOCKHART

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
357 BAY RD, STE 3, QUEENSBURY, NY 12804-3051
(518) 798-3237
(518) 798-3238
Mailing address
357 BAY RD, STE 3, QUEENSBURY, NY 12804-3051
(518) 798-3237
(518) 798-3238

Taxonomy

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

Other

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
Enumeration date
02/28/2006
Last updated
07/01/2020
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