NPI

Kelley Rae Lockhart

NPI 1033192679

Read from the NPPES registry on October 24, 2026.

Facts

Status
Active
Credential
M.D.
Type
Individual
Enumeration date
2005-11-29
Last updated
2023-01-17

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Specialties

Licenses

License CO
DR.0054479
License MN
47972
License IN
01082503A

Location

Practice location
11104 Parkview Circle Dr Ste 110
City
Fort Wayne IN
Postal code
46845-1673
Phone
(260) 425-6780
Fax
(260) 425-6789

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Internal Medicine, Critical Care Medicine providers in Fort Wayne, IN. 23 with this primary taxonomy in the public file.

Other NPIs in Fort Wayne, IN. 11,245 records in the public file.

Public data from NPPES and CMS. Not a credentialing determination.

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