Individual
KAITLIN CLAIRE LOCKHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
450 BROOKLINE AVE, BOSTON, MA 02215-5450
(617) 632-4500
(617) 632-5370
Mailing address
450 BROOKLINE AVE, BOSTON, MA 02215-5450
(617) 632-4500
(617) 632-5370
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R210006
MD
363L00000X
Nurse Practitioner
RN1048125
DC
363L00000X
Nurse Practitioner
Primary
RN2372186
MA
Other
Enumeration date
03/26/2018
Last updated
02/14/2023
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