Healthcare Provider Details

I. General information

NPI: 1407433907
Provider Name (Legal Business Name): ASHLEY KLEIN LOCKHART DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2021
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31860 US 19 N
PALM HARBOR FL
34684-3713
US

IV. Provider business mailing address

31860 US 19 N
PALM HARBOR FL
34684-3713
US

V. Phone/Fax

Practice location:
  • Phone: 727-787-6335
  • Fax: 727-489-2519
Mailing address:
  • Phone: 727-787-6335
  • Fax: 727-489-2519

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberOS21294
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: