Individual
MARY KATHRYN LOCKHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
2020005830
MO
207N00000X
Dermatology Physician
Primary
ME176392
FL
207NP0225X
Pediatric Dermatology Physician
Primary
2020005830
MO
207NP0225X
Pediatric Dermatology Physician
ME176392
FL
208000000X
Pediatrics Physician
2020005830
MO
208000000X
Pediatrics Physician
ME176392
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/18/2016
Last updated
03/24/2026
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