Individual
RENEE D LOCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
601 JOHN ST, KALAMAZOO, MI 49007-5341
(269) 341-7339
(269) 341-7781
Mailing address
PO BOX 631671, CINCINNATI, OH 45263-1671
(877) 227-8823
(313) 578-6393
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704237985
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704237985
MI LICENSE
MI
Enumeration date
04/16/2012
Last updated
11/04/2025
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