Dr. Kelley Rae Lockhart
Pulmonary Disease Critical Care Medicine
11109 Parkview Plaza Dr
Fort Wayne
, Indiana 46845-1701
Dr. Kelley Rae Lockhart
Pulmonary Disease Critical Care Medicine
11109 Parkview Plaza Dr
Fort Wayne
, Indiana 46845-1701
(719) 471-7064
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About
Features
Specialties
- Critical Care Medicine
- Pulmonary Disease
Languages spoken
- English
Location
First Address
- Dr. Kelley Rae Lockhart
- 2222 N Nevada Ave Ste 4004
- Colorado Springs, CO
- Zip : 80907-6832
- Phone : (719) 471-7064
Second Address
- Dr. Kelley Rae Lockhart
- 11109 Parkview Plaza Dr
- Fort Wayne, IN
- Zip : 46845-1701
- Fax : (260) 266-2009
- Phone : (260) 266-2020
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RC0200X | Critical Care Medicine | 01082503A | IN |
| N | 207RC0200X | Critical Care Medicine | DR.0054479 | CO |
| N | 207RP1001X | Pulmonary Disease | 47972 | MN |
National Provider Identifier
| NPI | 1033192679 |
|---|---|
| Provider Name | Dr. Kelley Rae Lockhart |
| First Address | Colorado Springs, CO 80907-6832 |
| Second Address | Fort Wayne, IN 46845-1701 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/11/2005 |
| Last Update Date | 16/07/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 956422500 | (05) | MN |
| I42944 | (02) | MN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.