Individual
KIM ANNE LOCKART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
2920 N 4TH ST, FLAGSTAFF, AZ 86004-1816
(928) 221-3610
(928) 213-6125
Mailing address
2920 N 4TH ST, FLAGSTAFF, AZ 86004-0600
(928) 213-6100
(928) 522-9664
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN037758
AZ
363LW0102X
Women's Health Nurse Practitioner
Primary
AP0336
AZ
Other
Enumeration date
11/08/2005
Last updated
11/13/2013
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