Individual
KELLY LOCKHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2701 CHESTNUT STATION CT, LOUISVILLE, KY 40299
(800) 335-1060
Mailing address
4476 ALIGAN WAY, LEXINGTON, KY 40515-4783
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
R3631
KY
Other
Enumeration date
05/04/2017
Last updated
05/04/2017
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