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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. KIM B LACKEY, DNP, APRN, AGPCNP-BC

Active

DR. KIM B LACKEY, DNP, APRN, AGPCNP-BC is a Primary Care Nurse Practitioner healthcare provider located in MATTHEWS, North Carolina. NPI 1699241752 is currently active in the NPPES registry. Verify at CMS.

Primary Care Nurse Practitioner · MATTHEWS, NC

Registration Details

NPI Number
1699241752
Provider Type
Individual
Gender
Female
NPI Issued
Oct 16, 2018 (7.8672633546233 yrs)
Last Updated
Feb 26, 2026
Licenses
5011316 (NC)
5011316 (NC)
5011316 (NC)

Practice Information

Address
434 N TRADE ST STE 104
MATTHEWS, NC, 281051865
Browse NC providers · Browse ZIP 28105
Phone
7042463936
Fax
7047711931
Primary Specialty
Primary Care Nurse Practitioner
363LP2300X

Other Primary Care Nurse Practitioner Providers in MATTHEWS, NC

Name Credential NPI
MRS. GRETCHEN ELAINE LAWSON MSN, APRN, AGNP-C 1053937896
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.